延伸护理对老年慢性心力衰竭患者生活质量的影响  

The effects of extended care on the quality of life on elderly patients with chronic heart failure

作　　者：李文玲[1] 张英[1] 郁蓉芳[1] 李光洁[1] 叶爱武[1] 夏丽莉[1] 袁海川[1] 

机构地区：[1]南京医科大学第一附属医院老年医学科,210009

出　　处：《中国实用护理杂志》2010年第4期6-9,共4页Chinese Journal of Practical Nursing

基　　金：中央保健专项资金资助科研课题（2006173）

摘　　要：目的探讨延伸护理对老年慢性心力衰竭（CHF）患者出院后遵医行为依从性及生活质量的影响。方法选择老年心血管科病区符合研究条件的108例CHF出院患者作为研究对象，随机分为实验组和对照组各54例，实验组出院后实施延伸护理1年，包括定期电话和上门随访，提供药疗护理、饮食护理、康复锻炼和督导自我护理等。对照组进行常规的出院健康教育。比较2组患者在出院后第3，6个月及1年的遵医行为依从性及自我管理能力，并比较2组患者出院时、1年后各项生活质量评分。结果2组患者在服药、饮食、定期复诊等方面依从性比较无显著差异，但在自测尿量、体质量、记录自我症状、体征及按要求运动等依从性方面实验组显著优于对照组。延伸护理后实验组患者在功能性生活指数、幸福度、老年人生活质量的评分均显著高于对照组。结论延伸护理可改善患者的遵医行为，并提高老年CHF患者生活质量。Objective To investigate the effects of extended care on the treatment compliance and the quality of life on discharged elderly patients with chronic heart failure. Methods One hundred and eight patients were randomly assigned to the experimental group and the control group with 54 patients in each, the experimental group received extended care for 1 year, including regular telephone and visit follow-up, supporting medical care, diet care, rehabilitation exercises and supervision of self-care. The control group underwent routine health education before discharge. Medical compliance and self-management ability were compared three months, six months and 1 year after discharge, evaluation score of life quality were also compared at discharge and one year after discharge between the two groups. Results There were no significant differences in medication, diet and regular follow-up visits between the two groups. However, the patients in the experimental group showed better compliance than the control group in the self-testing of urine, body weight, and recording of symptoms, body signs and required exercises. Additionally, the patients in the experimental group had higher scores than the control group in the daily life-skills, happiness and the quality of life. Conclusions The extended care significantly improved the treatment compliance and the quality of life in the elderly patients with chronic heart failure.

关 键 词：延伸护理 慢性心力衰竭 老年人 遵医行为 生活质量 

分 类 号：R473.5[医药卫生—护理学]