群组管理在慢性心力衰竭患者随访管理中的应用  

Application of group management in follow-up management of patients with chronic heart failure

作　　者：叶晶[1] 丁文惠[1] 韩晓宁[1] 王洁[1] 金黎英[1] 郑一梅[2] Ye Jing;Ding Wenhui;Han Xiaoning;Wang Jie;Jin Liying;Zheng Yimei(Department of Cardiology,Peking University First Hospital,Beijing 100034,China;Department of Medicine,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院心血管内科,北京100034 [2]北京大学第一医院大内科,北京100034

出　　处：《中华现代护理杂志》2020年第20期2764-2768,共5页Chinese Journal of Modern Nursing

基　　金：北京大学第一医院科研种子基金(2018SF118)。

摘　　要：目的探讨群组管理在慢性心力衰竭患者随访管理中的应用效果。方法采用便利抽样法,选取从2018年开始北京大学第一医院心内科收治,出院后参加心力衰竭随访门诊管理的慢性心力衰竭患者为研究对象。采用随机数字表法将患者分为干预组和对照组,最终干预组纳入63例,对照组纳入59例患者。对照组采用采用心力衰竭门诊随访,干预组患者采用群组管理进行随访。采用Atlanta心力衰竭知识问卷(第2版)(Atlanta Heart Failure Knowledge Test-V2,AHFKT-V2)、欧洲心力衰竭自我护理行为量表(the Heart Failure European Self-care Behavior Scale,EHFScBS)、NYHA心功能分级和B型尿钠肽(BNP)比较干预的效果。结果干预后6个月干预组患者AHFKT-V2总分及营养、行为、症状管理、服药维度得分高于对照组;EHFScBS总分低于对照组,差异有统计学意义(P<0.05)。干预后6个月后干预组患者NYHA心功能分级和BNP均优于对照组,差异有统计学意义(P<0.05)。结论群组管理模式可以有效改善心力衰竭随访患者的心力衰竭相关知识、自我护理行为、NYHA心功能分级和BNP。Objective To explore the application effect of group management in follow-up management of patients with chronic heart failure.Methods By the convenient sampling method,patients with chronic heart failure who were admitted to Department of Cardiology of Peking University First Hospital in 2018 and participated in heart failure follow-up clinic management after discharge were selected as research objects.The patients were divided into the intervention group and the control group by the random number table method.Finally,63 patients were included in the intervention group and 59 patients were included in the control group.The control group was followed up by heart failure clinic and the intervention group was followed up by group management.Atlanta Heart Failure Knowledge Test-V2(AHFKT-V2),the Heart Failure European Self-care Behavior Scale(EHFScBS),heart function grade of NYHA and Type B natriuretic peptide(BNP)were used to compare intervention effects.Results Six months after the intervention,the total score of AHFKT-V2,scores of nutrition,behavior,symptom management,and medication dimensions of the intervention group were all higher than those of the control group,the total score of EHFScBS was lower than that of the control group,and the differences were statistically significant(P<0.05).Six months after the intervention,the heart function grade of NYHA and BNP of the intervention group were better than those of the control group,and the differences were statistically significant(P<0.05).Conclusions The group management model can effectively improve heart failure related knowledge,self-care behaviors,heart function grade of NYHA and BNP of patients with heart failure follow-up.

关 键 词：群组管理 慢性心力衰竭 随访 知识 自我护理行为 

分 类 号：R473.5[医药卫生—护理学]