群组管理对慢性心力衰竭随访患者健康状况的影响  

Effect of group visits on health condition among follow-up patients with chronic heart failure

作　　者：叶晶[1] 韩晓宁[1] 王洁[1] 郑一梅[2] 金黎英[1] 丁文惠[1] Ye Jing;Han Xiaoning;Wang Jie;Zheng Yimei;Jin Liying;Ding Wenhui(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,100034 [2]北京大学第一医院大内科,100034

出　　处：《中国实用护理杂志》2020年第32期2515-2520,共6页Chinese Journal of Practical Nursing

基　　金：北京大学第一医院科研种子基金(2018SF118)。

摘　　要：目的探讨群组管理模式对慢性心力衰竭随访患者健康状况的影响。方法选择2018年6月至2019年6月北京大学第一医院门诊随访的心力衰竭患者126例为研究对象。采用随机数字表法分为干预组和对照组,最终干预组63例,对照组59例,进行为期6个月的干预,干预组接受以患者为中心的群组管理,对照组接受常规的心力衰竭专业门诊随访。在干预前、干预后6个月分别进行用药依从性、生命质量和心力衰竭疾病相关指标的评价。结果干预后6个月,干预组用药依从性、总体生命质量和躯体、情绪、其他3个维度得分分别为(5.79±1.38)、(30.11±8.22)、(12.65±5.53)、(5.24±4.57)、(12.22±4.76)分,对照组分别为(5.31±1.09)、(37.26±9.02)、(15.87±5.21)、(7.03±5.14)、(14.36±5.54)分,2组比较差异有统计学意义(t值为-4.581~2.161,P<0.05或0.01)。干预组B型利钠肽和纽约心脏协会(NYHA)心功能分级Ⅰ级所占比例分别为(180.87±174.92)ng/L、84.1%(53/63),对照组分别为(351.02±268.13)ng/L、67.8%(40/59),2组比较差异有统计学意义(t值为-4.177,χ^2值为4.484,P<0.01或0.05)。结论群组管理是一种有效的管理模式,通过进行深入的健康教育、培养同伴支持,改善心力衰竭随访患者的用药依从性和生命质量,进而促进心力衰竭健康状况。Objective To explore the effect of group visits on health condition among follow-up patients with chronic heart failure.Methods Totally 126 outpatient follow-up patients with heart failure were divided into intervention group and control group by random number table from 2018 to 2019.The intervention group consisted of 63 cases and control group consisted of 59 cases.The intervention lasted 6 months.The intervention group received group visits,while the control group received routine outpatient follow-up.Medication adherence,quality of life and heart failure related indicators were evaluated at baseline and after 6 months of intervention.Results At 6 months after intervention,the scores of medication adherence,total quality of life,body,emotion and others dimensions of the intervention group were(5.79±1.38),(30.11±8.22),(12.65±5.53),(5.24±4.57)and(12.22±4.76)points.These scores of the control group were(5.31±1.09),(37.26±9.02),(15.87±5.21),(7.03±5.14),(14.36±5.54)points.The differences between the two groups were statistically significant(t values were-4.581-2.161,P<0.05 or 0.01).The BNP and proportion of New York Heart Association(NYHA)I the intervention group were(180.87±174.92)ng/L and 84.1%(53/63).These indicators of the control group were(351.02±268.13)ng/L and 67.8%(40/59).The differences between the two groups were statistically significant(t value was-4.177,χ^2 value was 4.484,P<0.01 or 0.05).Conclusions Group visits program is an effective management mode to provide intensive patient education and foster peer support,improving medication adherence and quality of life of follow-up patients with heart failure.

关 键 词：群组管理 心力衰竭 随访 健康状况 

分 类 号：R473.5[医药卫生—护理学]