摘要
目的:探究家属参与式个案管理在老年慢性心力衰竭(CHF)容量管理中的作用.方法:收集泰州市第二人民医院心内科在2022年5月至11月收治的符合纳排标准的104例老年CHF患者为研究对象.采用整群同期抽样法分为对照组(n=52,常规护理)和观察组(n=52,常规护理的基础上采用家属参与式个案管理模式进行干预护理),两组均干预3个月.比较两组患者干预前后左室舒张末内径(LVEDd)、左室收缩末内径(LVESd)、左室射血分数(LVEF)、心力衰竭自我护理指数(SCHFI),明尼苏达心力衰竭患者生活质量问卷(MLHFQ)评分.结果:与对照组比较,观察组干预后LVEF[(50.67±2.41)％比(54.62±2.42)％]、SCHFI的自我护理维持[(45.75±13.10)分比(59.82±13.86)分]、自我护理管理[(46.72±17.92)分比(63.18±15.04)分]、自我护理信心[(52.61±12.59)分比(63.07±17.21)分]评分显著升高,MLHFQ的身体领域[(23.54±4.56)分比(20.35±3.01)分]和情绪领域[(21.87±4.05)分比(19.72±3.23)分]评分、LVEDd[(52.73±2.38)mm 比(50.42±2.43)mm]、LVESd[(36.48±1.67)mm 比(34.06±1.49)mm]显著降低,P 均＜0.01.结论:家属参与式个案管理可以显著提高老年慢性心力衰竭患者心功能、自我护理能力、生活质量,在临床治疗和护理中具有良好的应用前景.
Abstract
Objective:To explore the role of family-participated case management in the capacity management of elderly chronic heart failure(CHF).Methods:A total of 104 eligible aged CHF patients who were admitted to the Department of Cardiology in Taizhou Second People's Hospital from May to November 2022 were collected.Accord-ing to cluster simultaneous sampling method,they were divided into control group(n=52,routine nursing)and ob-servation group(n=52,received family-participated case management mode based on routine nursing),both groups were intervened for three months.Left ventricular end-diastolic diameter(LVEDd),left ventricular end-systolic diameter(LVESd),left ventricular ejection fraction(LVEF),scores of self-care of heart failure index(SCHFI)and Minnesota living with heart failure questionnaire(MLHFQ)were compared between two groups be-fore and after intervention.Results:Compared with control group after intervention,there were significant rise in LVEF[(50.67±2.41)％vs.(54.62±2.42)％],self-care maintenance[(45.75±13.10)points vs.(59.82± 13.86)points],self-care management[(46.72±17.92)points vs.(63.18±15.04)points],self-care confidence[(52.61±12.59)points vs.(63.07±17.21)points]scores of SCHFI,and significant reductions in physical domain[(23.54±4.56)points vs.(20.35±3.01)points],emotional domain[(21.87±4.05)points vs.(19.72±3.23)points]scores of MLHFQ,LVEDd[(52.73±2.38)mm vs.(50.42±2.43)mm]and LVESd[(36.48±1.67)mm vs.(34.06±1.49)mm]in observation group,P＜0.01 all.Conclusion:Family-participated case manage-ment can significantly improve cardiac function,self-care ability and quality of life in elderly patients with chronic heart failure,and has good application prospects in clinical treatment and nursing.
基金项目
江苏医药职业学院临床教学基地科研发展专项立项项目(2022)(20229102)
泰州市姜堰区科技专项扶持项目(社会事业)(2022)(2022304)
维普
万方数据