首页|症状管理策略配合三位一体延续护理模式对慢性心衰患者病情控制及居家自我管理能力的影响

症状管理策略配合三位一体延续护理模式对慢性心衰患者病情控制及居家自我管理能力的影响

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目的 探究症状管理策略配合三位一体延续护理模式对慢性心衰患者病情控制及居家自我管理能力的影响。方法 择取2020年1月至2022年1月收治的90例慢性心衰患者为研究对象,根据床位奇偶数将其分为对照组和观察组,各45例。对照组采用常规护理干预,观察组在对照组基础上采用症状管理策略配合三位一体延续护理模式进行干预。比较两组的干预效果。结果 干预后,观察组的Memorial心力衰竭症状评估量表(MSAS-HF)各维度评分均低于对照组(P<0。05)。干预后,观察组的居家服药、居家饮食、病情自我监测、居家心脏康复锻炼评分均高于对照组(P<0。05)。干预后,观察组的左室射血分数(LVEF)、左心室高峰射血时间(LVTPER)高于对照组,左心室高峰射血率(LVPER)低于对照组(P<0。05)。结论 症状管理策略配合三位一体延续护理模式不仅能够加大慢性心衰患者病情控制力度,还能提高患者居家自我管理能力,进而有效改善心功能。
Effects of symptom management strategy combined with trinity continuous nursing model on disease control and home self-management ability of patients with chronic heart failure
Objective To explore the effects of symptom management strategy combined with trinity continuous nursing model on disease control and home self-management ability of patients with chronic heart failure.Methods A total of 90 patients with chronic heart failure admitted from January 2020 to January 2022 were selected as the research objects,and the patients were divided into control group and observation group according to the odd and even number of beds,with 45 cases in each group.The control group was given routine nursing intervention,and the observation group was given symptom management strategy combined with trinity continuous nursing model on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of each dimension of Memorial Symptom Assessment Scale-Heart Failure(MSAS-HF)in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of home medication,home diet,disease self-monitoring and home cardiac rehabilitation exercise in the observation group were higher than those in the control group(P<0.05).After intervention,the left ventricular ejection fractions(LVEF)and left ventricular time to peak ejection rate(LVTPER)in the observation group were higher than those in the control group,and the left ventricular peak ejection rate(LVPER)was lower than that in the control group(P<0.05).Conclusion The symptom management strategy combined with trinity continuous nursing model can not only increase the disease control of patients with chronic heart failure,but also improve the home self-management ability of patients,thus effectively improving cardiac function.

symptom management strategytrinity continuous nursing modelchronic heart failuredisease controlhome self-management ability

高燕、余丽丽、刘肖亚

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咸阳彩虹医院,陕西咸阳,712021

咸阳市三原县医院,陕西咸阳,713899

陕西省核工业二一五医院,陕西咸阳,712000

症状管理策略 三位一体延续护理模式 慢性心衰 病情控制 居家自我管理能力

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(5)
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