以家庭为中心的群组式容量管理在慢性心力衰竭患者中的应用  

Application of family-centered group capacity management model in patients with chronic heart failure

作　　者：陈丽华[1] 吴娟[1] 王逸楠 Chen Lihua;Wu Juan;Wang Yinan(Department of Nursing,Affiliated Hospital of Nantong University,Nantong 226001,China)

机构地区：[1]南通大学附属医院心血管内科,江苏南通226001 [2]南通大学护理学院

出　　处：《护理学杂志》2023年第10期5-8,12,共5页Journal of Nursing Science

基　　金：南通大学附属医院护理科研项目(Tfh2110)。

摘　　要：目的探讨以家庭为中心的群组式容量管理在慢性心力衰竭患者中的应用效果。方法将心内科住院的慢性心力衰竭患者80例按时间段分为对照组(40例)和观察组(40例)。对照组采用常规护理;观察组采用以家庭为中心的群组式容量管理模式,在建立干预团队的基础上,给予互动式多样化健康教育、整体性规范化自我管理和持续性多元化社会支持等干预措施。结果两组干预6个月后长效依从性和服药依从性、生活质量、6分钟步行距离、左室射血分数、再住院率比较,差异有统计学意义(均P<0.05)。结论采用以家庭为中心的群组式容量管理模式可提升慢性心力衰竭患者治疗依从性和心功能,改善生活质量,降低再住院率。Objective To explore the application and effect of family-centered group volume management in patients with chronic heart failure.Methods A total of 80 patients with chronic heart failure who were hospitalized in the Department of Cardiology of hospital were selected and divided into control group(n=40)and experimental group(n=40)according to the admission time.The control group was given with routine nursing mode,and the experimental group was given with family-centered group volume management mode on the basis of establishing the intervention team,the experimental group was given intervention measures such as interactive and diversified health education,holistic standardized self-management and continuous diversified social support.Results After 6 months,the scores of volume management long-term compliance and medication compliance in experimental group were significantly higher than those in control group,the scores of quality of life(MLHFQ)were lower than those in control group,the 6-minute walking distance,left ventricular ejection fraction and other cardiac functions were significantly higher than those in control group,and the readmission rate was significantly lower than that in control group(P<0.05).Conclusion The family-centered group volume management model can improve the treatment compliance and cardiac function,improve the quality of life,and reduce the rate of re-hospitalization in patients with chronic heart failure.

关 键 词：慢性心力衰竭 以家庭为中心的群组式容量管理 患者 家属 生活质量 心功能 再住院率 

分 类 号：R473.5[医药卫生—护理学]