摘要
目的探讨慢性心力衰竭患者从医院到社区无缝隙护理管理模式的应用。方法通过对2012年1月—2013年12月在我院治疗的60例慢性心力衰竭患者,随机分为对照组和实验组,每组30例患者。其中对照组患者进行常规护理,实验组患者实施医院到社区无缝隙护理管理。观察比较两组患者生活质量评分、治疗依从性、抑郁及焦虑状况、心功能指标差异。结果实验组患者躯体功能、社会能力、总生活质量、情绪功能等生活质量均明显高于对照患者(P<0.05);实验组患者治疗依从性明显高于对照组患者,抑郁、焦虑评分明显低于对照组患者(P<0.05);实验组患者HR、LVEF、LVDED、E/A心功能指标较对照组患者明显改善(P<0.05)。结论针对慢性心力衰竭患者采用从医院到社区无缝隙护理管理模式,提高患者生活质量和质量依从性,改善患者焦虑、抑郁状况及心功能指标,临床值得推广应用。
Objective To discuss the application of hospital - community gap - free nursing model in patients with chronic heart failure. Methods From January 2012 to December 2013, 60 cases of chronic heart failure treated in our hospital were randomly divided into control group and experimental group, 30 cases for each group. Control group received rou- tine care, while experimental group hospital - community gap - free nursing. Both groups were observed the scores of the quality of life, medical compliance, depression and anxiety, and the indicators of cardiac function. Results Experimental group was superior to control group in physical function, social competence, the overall quality of life, emotional functio- ning （ P 〈 0.05 ） ; experimental group had higher treatment compliance, but lower scores of depression and anxiety than the controls （ P 〈 0.05 ） ; the indicators of cardiac function, such as INEF, LVDED, E / A got improved significantly - in experimental group （ P 〈 0.05 ）. Conclusions The application of hospital - community gap - free nursing model for chronic heart failure can improve the quality of life and medical compliance of the patients,, relieve their anxiety, depression, and improve the cardiac function, which is worthy of clinical application.
出处
《社区医学杂志》
2014年第24期20-21,共2页
Journal Of Community Medicine
