专病一体化护理联合协同护理模式对老年慢性心力衰竭患者的影响  

Effect of Integrated Specialized Disease Nursing Combined with Collaborative Nursing Model on Elderly Patients with Chronic Heart Failure

作　　者：李芳[1] 王倩[1] 李悦[1] 李峥[1] Li Fang;Wang Qian;Li Yue(The First Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450000,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450000

出　　处：《齐鲁护理杂志》2024年第6期9-12,共4页Journal of Qilu Nursing

摘　　要：目的:探讨专病一体化护理联合协同护理模式对老年慢性心力衰竭(CHF)患者的影响。方法:选取2022年2月1日~2023年2月28日收治的98例老年CHF患者作为研究对象,依据入院时间采用抽签法分为对照组和观察组各49例,对照组给予常规护理,观察组在此基础上实施专病一体化护理联合协同护理模式;比较两组入院时、出院时、出院3个月的积极度评分,护理前后生命质量[简明健康状况调查问卷(SF-36)]评分、睡眠质量(明尼苏达心力衰竭睡眠质量量表)评分、自我护理(欧洲心力衰竭自我护理行为量表)评分、汉密顿焦虑量表(HAMA)评分、汉密顿抑郁量表(HAMD)评分,护理满意度。结果:干预后,两组积极度评分逐渐提高(P<0.01),观察组出院时、出院3个月积极度评分高于对照组(P<0.01);护理后,两组生命质量评分高于护理前(P<0.05),且观察组高于对照组(P<0.01);护理后,两组睡眠质量、自我护理评分及HAMA、HAMD评分低于护理前(P<0.05),且观察组低于对照组(P<0.01);观察组护理满意度高于对照组(P<0.01)。结论:专病一体化护理联合协同护理模式能够有效改善CHF患者的不良情绪和积极度,提高睡眠质量和生命质量,提升护理满意度。Objective:To explore effect of integrated specialized disease nursing combined with collaborative nursing model on elderly patients with chronic heart failure(CHF).Methods:A total of 98 elderly CHF patients admitted from February 1,2022 to February 28,2023 were selected as the study subjects.According to the admission time,they were divided into control group and observation group,with 49 cases in each group,using a lottery method.The control group received routine care,while the observation group implemented a specialized disease integrated nursing combined with collaborative nursing model on this basis.The positivity scores of two groups at admission,discharge,and 3 months after discharge were compared.The quality of life[Short Form-36(SF-36)],sleep quality(Minnesota Heart Failure Sleep Quality Scale),self-care(European Heart Failure Self-care Behavior Scale),Hamilton Anxiety Scale(HAMA),Hamilton Rating Scale for Depression(HAMD)and nursing satisfaction were compared between two groups before and after nursing.Results:After intervention,the positivity score of the two groups gradually increased(P<0.01),and the positivity scores at discharge and three months after discharge in the observation group were significantly higher than those in the control group(P<0.01).After nursing,the quality of life scores of the two groups were higher than before nursing(P<0.05),and the observation group was higher than the control group(P<0.01).After nursing,the sleep quality,self-care scores,HAMA and HAMD scores of the two groups were lower than before nursing(P<0.05),and the observation group was lower than the control group(P<0.01).The nursing satisfaction of the observation group was higher than that of the control group(P<0.01).Conclusion:The integrated nursing and collaborative nursing model for specialized diseases can effectively improve the negative emotions and enthusiasm of CHF patients,improve sleep quality and quality of life,and enhance nursing satisfaction.

关 键 词：慢性心力衰竭 老年患者 专病一体化 协同护理 生命质量 睡眠质量 护理满意度 

分 类 号：R473.5[医药卫生—护理学]