慢性心力衰竭患者从医院到社区无缝隙护理管理模式的应用  

The management mode of hospital-to-home seamless nursing for patients with chronic heart failure

作　　者：刘辉[1] 郑豫珍[2] 杨丽萍[2] 付远珍 阿依孜木 张永花[4] 单姗[4] 李晓华[4] 孙志芳[4] 张超[4] 王楠[4] 杨晓慧[4] 王鹰[4] 

机构地区：[1]新疆克拉玛依市中心医院干部保健科,834000 [2]新疆克拉玛依市中心医院护理部,834000 [3]新疆克拉玛依区卫生局 [4]新疆克拉玛依市中心医院心血管内科,834000

出　　处：《中华护理杂志》2013年第12期1061-1066,共6页Chinese Journal of Nursing

摘　　要：目的探讨对慢性心力衰竭患者实施从医院到社区无缝隙护理管理模式的效果。方法将160例患者随机分为干预组和对照组,每组80例。对干预组采用从医院到社区无缝隙护理管理模式,对对照组实施常规的健康教育。于干预前、干预后1、3、6、12个月分别评估两组生活质量、自我护理能力、自我效能、服药依从性、6min步行试验等指标。结果干预后,慢性心力衰竭患者的各项指标均优于干预前,差异具有统计学意义(P<0.05)。结论应用从医院到社区无缝隙护理管理模式能够对慢性心力衰竭患者进行有效的管理。Objective To evaluate the effects of hospital-to-home seamless nursing for patients with chronic heart failure. Methods Totally 160 patients with chronic heart failure were randomly divided into two groups,80 cases in each group. Hospital-to-home seamless nursing and routine health education were provided for the experimental group and the control group,respectively. The patients＇ quality of life,self-care ability,self-efficacy,medication adherence and the six-minute walk test （6MWT） were investigated before intervention and 1 month,3 months,6 months,and 12 months after intervention. Results After intervention,the quality of life,self-care ability,self-efficacy,medication adherence and 6MWT in the experimenting group were significantly better than the control group（P〈0.05）. Conclusion Hospital-to-home seamless nursing has been proved to be feasible and effective for the management of chronic heart failure patients.

关 键 词：心力衰竭 社区卫生服务 无缝隙护理 

分 类 号：R473.5[医药卫生—护理学]