Study on the improvement effect of routine community management combined with TCM health management on short-term prognosis of patients with chronic heart failure
Objective To study the effect of routine community management combined with traditional Chinese medicine (TCM) health management on the short-term prognosis of patients with chronic heart fail-ure (CHF).Methods A total of 139 patients with CHF who were discharged from two general hospitals and two traditional Chinese medicine hospitals in Shanghai from January to December 2019 and lived within 3 km around the hospital were selected,and 141 patients with CHF who were admitted to four community health service centers within 3 km around the above hospitals from January to December 2019 and clearly diagnosed in tertiary hospitals were selected according to 80％ proportion.A total of 280 patients with CHF were includ-ed in this study,including 14 cases excluded,seven cases lost to follow-up,and finally 259 patients with CHF were included in the analysis.Using the practical clinical trial method,CHF patients were divided into the in-tervention group and control group according to the distance from the hospital of traditional Chinese medicine or personal wishes,and routine community management alone or combined with traditional Chinese medicine health management intervention was carried out.Through the questionnaire method,it was determined whetherthe conventional community management combined with traditional Chinese medicine health managementhad more advantages in the short-term prognosis and cardiac function improvement of patients.Results Themean age of 259 patients with CHF was (74±8) years.After propensity score matching,a total of 90 pairs ofpatients were successfully matched.There was no aggregation of readmission at the level of primary medicalinstitutions.The 6-month readmission rate of the intervention group was lower than that of the control group(X2 =10.414,P =0.001).The New York Heart Association (NYHA) classification of the intervention group decreasedsignificantly,and the quality of life scale score and N-terminal B-type natriuretic peptide (NT-proBNP)level were significantly better than those of the control group,the difference was statistically significant (P <0.05).Conclusion Conventional community management combined with traditional Chinese medicine healthmanagement can improve the short-term prognosis of CHF patients and provide effective health managementstrategies for the grassroots.
hronic heart failuretraditional Chinese medicine health managementcommunity managementpropensity score
万方数据
维普
