个案全程管理模式护理对慢性心力衰竭患者的干预效果分析  

Analysis of the Effect of Case Management Model of Care on the Intervention of Patients with Chronic Heart Failure

作　　者：宋婷 Song Ting(Department of Cardiovascular Medicine,Shenzhen Longgang Central Hospital,Shenzhen 518100,Guangdong Province,China)

机构地区：[1]深圳市龙岗中心医院心血管内科,广东深圳518100

出　　处：《中外医药研究》2022年第8期114-116,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析慢性心力衰竭患者应用个案全程管理模式护理的干预效果。方法:选取2020年1月-2022年2月深圳市龙岗中心医院收治的慢性心力衰竭患者100例为观察对象,根据护理方法不同分为对照组与观察组,各50例。对照组给予常规护理干预,观察组给予个案全程管理模式护理干预,比较两组患者治疗依从性、护理满意度、心功能指标、生活质量。结果:观察组患者治疗依从性高于对照组,差异有统计学意义(P<0.05);观察组入院宣教、服务态度、操作技术、事项告知、服务主动保护隐私护理满意度高于对照组,差异有统计学意义(P<0.05);观察组左心室舒张末期内径、B型钠肽低于对照组,左心室射血分数、6 min步行试验高于对照组,差异有统计学意义(P<0.05);观察组生理功能、精神健康、精力、躯体疼痛评分高于对照组,差异有统计学意义(P<0.05)。结论:个案全程管理模式护理对慢性心力衰竭患者干预效果显著,可明显改善患者心功能指标,提高患者治疗依从性及护理满意度,改善患者生活质量。Objective:To analyze the intervention effect of applying the case total management model of care for patients with chronic heart failure.Methods:100 patients with chronic heart failure admitted to Shenzhen Longgang Central Hospital from January 2020 to February 2022 were selected as observation subjects and were divided into a control group and an observation group of 50 cases each according to different care methods.The control group was given conventional nursing intervention and the observation group was given case management mode nursing intervention.The patients in the two groups were compared in terms of compliance with treatment,satisfaction with care,cardiac function indicators and quality of life.Results:The compliance of patients in the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The observation group was more satisfied with admission education,service attitude,operation technique,matter notification,and service initiative to protect privacy care than the control group,and the difference was statistically significant(P<0.05).The left ventricular end-diastolic internal diameter and B-type natriuretic peptide in the observation group were lower than those in the control group,and the left ventricular ejection fraction and 6-min walk test were higher than those in the control group,with statistically significant differences(P<0.05).The physiological function,mental health,energy and somatic pain scores were higher in the observation group than in the control group,with statistically significant differences(P<0.05).Conclusion:The case management model of care is effective in the intervention of patients with chronic heart failure,which can significantly improve the indexes of cardiac function,increase patients'compliance with treatment and satisfaction with care,and improve patients'quality of life.

关 键 词：慢性心力衰竭 个案全程管理模式 心功能 护理效果 

分 类 号：R47[医药卫生—护理学]