摘要
目的:研究现状-背景-评估-建议(SBAR)沟通模式干预对心衰(HF)患者的影响。方法:依据干预方式,于我院治疗的187例HF患者被分为常规干预组(96例,常规治疗基础上接受常规干预)与SBAR组(91例,常规治疗基础上接受SBAR沟通模式干预),两组均干预6个月。比较两组一般临床资料、LVEF、左室舒张末期容积(LVEDV)、左室收缩末期容积(LVESV)、Morisky服药依从性量表评分、健康调查简易量表(SF-36)评分、患者满意度及随访6个月内主要不良心血管事件(MACE)的发生率。结果:与常规干预组比较,干预后,SBAR组LVEF[(53.44±2.11)%比(57.72±1.80)%]、Morisky药物依从性量表评分[(2.00±0.77)分比(3.63±1.07)分]、SF-36评分[(68.83±7.62)分比(76.81±9.68)分]均显著升高,LVEDV[(132.63±5.59)ml比(119.15±6.89)ml]、LVESV[(64.36±5.82)ml比(56.62±4.21)ml]均显著降低,P均=0.001。SBAR组患者满意度显著高于常规干预组(89.01%比73.96%,χ^(2)=6.958,P=0.008),随访期间MACE发生率显著低于后者(5.49%比15.63%,LogRank χ^(2)=5.043,P=0.025)。结论:SBAR沟通模式干预可显著改善心衰患者心功能,提高服药依从性及生活质量,患者满意度高。
Objective:To study influence of Status-Background-Assessment-Recommendation(SBAR)communication mode intervention on patients with heart failure(HF).Methods:According to intervention method,a total of 187 HF patients treated in our hospital were divided into routine intervention group(n=96,received routine intervention based on routine treatment)and SBAR group(n=91,received SBAR communication mode intervention based on routine treatment).Both groups were intervened for six months.General clinical data,LVEF,left ventricular end-diastolic volume(LVEDV),left ventricular end-systolic volume(LVESV),scores of Morisky medication compliance scale and the medical outcomes study 36-item short-form heath survey(SF-36),patients'satisfaction and incidence rate of major adverse cardiovascular events(MACE)within six-month follow-up were compared between two groups.Results:Compared with routine intervention group,after intervention,there were significant rise in LVEF[(53.44±2.11)%vs.(57.72±1.80)%],scores of Morisky medication compliance scale[(2.00±0.77)scores vs.(3.63±1.07)scores]and SF-36[(68.83±7.62)scores vs.(76.81±9.68)scores],and significant reductions in LVEDV[(132.63±5.59)ml vs.(119.15±6.89)ml]and LVESV[(64.36±5.82)ml vs.(56.62±4.21)ml]in SBAR group(P=0.001 all).Patients'satisfaction of SBAR group was significantly higher than that of routine intervention group(89.01%vs.73.96%,χ^(2)=6.958,P=0.008),and incidence rate MACE during follow-up was significantly lower than the latter(5.49%vs.15.63%,LogRank χ^(2)=5.043,P=0.025).Conclusion:SBAR communication mode intervention can significantly improve heart function,medication compliance and quality of life in patients with heart failure,with high patients'satisfaction.
作者
吕珍珍
鲁亚茹
范晓英
郭爱
LU Zhen-zhen;LU Ya-ru;FAN Xiao-ying;GUO Ai(ICU of Department of Cardiology,First Affiliated Hospital of Chinese PLA Air Force Medical University,Xi'an,Shaanxi,710000,China)
出处
《心血管康复医学杂志》
CAS
2023年第6期590-594,共5页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
心力衰竭
服药依从性
病人满意度
Heart failure
Medication adherence
Patient satisfaction
