Influence of extended nursing under medical community cooperation on patients with chronic heart failure
Objective To explore the impact of extended nursing under the cooperation of medical communities on patients with chronic heart failure(shorter form:chronic heart failure),and to provide assistance for improving their quality of life.Methods A total of 201 patients with chronic heart failure who were hospitalized and improvement discharged from Changshu First People's Hospital and its medical community hospital from January 2020 to February 2022 were selected and divided into control group with 100 cases and study group with 101 cases according to the random number table method.The control group was followed up by hospital nurses over the phone,while the study group was followed up by community medical staff under the medical community hospital.Follow up were conducted at 3,6 and 12 months after the patients'discharge.The cardiac function grading,readmission and mortality rates and quality score of life between two groups were compared.Results At the 3-month,6-month and 12-month follow-up after dischange,there were no statistically significant differences in heart function grading,readmission and mortality between the two groups(P＞0.05).At the 3-month follow-up after discharge,the scores of physical pain,general health status and health changes in the study group were higher than those in the control group,and the differences were statistically significant(P＜0.05);at the 6-month follow-up after discharge,the scores of physical pain,emotional function and health changes in the study group were higher than those in the control group,and the differences were statistically significant(P＜0.05);at the 12-month follow-up after discarge,the scores of general health status and health changes in the study group were higher than those in the control group,and the differences were statistically significant (P＜0.05).Conclusion The extended nursing under the cooperation of the medical community could improve patients with chronic heart failure quality of life,and was worthy of clinical promotion and application.
Chronic heart failureMedical communityExtended nursingCommunityQuality of life
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