摘要
目的探究在老年慢性心力衰竭患者中实施慢性病轨迹模式护理干预的效果。方法纳入2019年12月至2021年1月新乡市第一人民医院收治的178例老年慢性心力衰竭患者,按随机数表法分为两组,各89例。对照组接受常规干预,观察组接受慢性病轨迹模式护理。比较两组心理状态、自我效能、生活质量及自我管理能力。结果护理前,两组心理状态、自我效能、生活质量及自我管理能力比较,差异无统计学意义(P>0.05);护理后,观察组汉密斯顿抑郁量表(HAMD)及汉密斯顿焦虑量表(HAMA)评分较对照组低(P<0.05),自我管理能力测定量表(ESCA)中各维度评分均较对照组高(P<0.05),一般自我效能感量表(GSES)评分高于对照组(P<0.05),明尼苏达心力衰竭生活质量问卷表(LiHFe)评分低于对照组(P<0.05)。结论慢性病轨迹模式的护理干预能够缓解老年慢性心力衰竭患者焦虑、抑郁等不良情绪,增强自我效能,提高自我管理能力,提高生活质量,促进患者病情稳定,值得临床进一步推广应用。
Objective To explore the nursing intervention of chronic disease trajectory model in elderly patients with chronic heart failure.Methods A total of 178 elderly patients with chronic heart failure admitted to Xinxiang First People’s Hospital from December 2019 to January 2021 were selected and divided into two groups according to the random number table method,with 89 cases in each group.The control group received routine intervention,and the observation group received chronic disease trajectory model nursing.Compare the two groups’mental state,self-efficacy,quality of life and self-management ability.Results Before nursing,there was no significant difference in psychological state,self-efficacy,quality of life and self-management ability between the two groups(P>0.05).After nursing,the scores of Hamilton depression scale(HAMD)and Hamilton anxiety scale(HAMA)in the observation group were lower than those in the control group(P<0.05),the scores of each dimension of exercise of self-care agency scale(ESCA)were higher than those in the control group(P<0.05),and the scores of general self-efficacy scale(GSES)were higher than those in the control group(P<0.05).The Minnesota living with heart failure questionnaire(LiHFe)score was lower than that of the control group(P<0.05).Conclusion The nursing intervention of chronic disease trajectory model can relieve the anxiety and depression of elderly patients with chronic heart failure,enhance self-efficacy,improve self-management ability,improve the quality of life,and promote the stability of the patient’s condition.It is worthy of further clinical application.
作者
宋瑞芳
张伟娟
董运婷
SONG Ruifang;ZHANG Weijuan;DONG Yunting(Department of General Medicine,Xinxiang First People’s Hospital,Xinxiang 453000,China;the Third Ward of the Department of Cardiovascular Medicine,Xinxiang First People’s Hospital,Xinxiang 453000,China;.Department of Ophthalmology,Xinxiang First People’s Hospital,Xinxiang 453000,China)
出处
《河南医学研究》
CAS
2022年第21期4015-4018,共4页
Henan Medical Research
关键词
慢性心力衰竭
慢性病轨迹模式
心理状态
自我效能
自我管理能力
生活质量
chronic heart failure
chronic disease trajectory model
mental state
self-efficacy
self-management ability
quality of life
