中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2010年
10期
6-9
,共4页
李文玲%张英%郁蓉芳%李光洁%叶爱武%夏丽莉%袁海川
李文玲%張英%鬱蓉芳%李光潔%葉愛武%夏麗莉%袁海川
리문령%장영%욱용방%리광길%협애무%하려리%원해천
延伸护理%慢性心力衰竭%老年人%遵医行为%生活质量
延伸護理%慢性心力衰竭%老年人%遵醫行為%生活質量
연신호리%만성심력쇠갈%노년인%준의행위%생활질량
Extended care%Chronic heart failure%Elderly%Treatment compliance%Quality of life
目的 探讨延伸护理对老年慢性心力衰竭(CHF)患者出院后遵医行为依从性及生活质量的影响.方法 选择老年心血管科病区符合研究条件的108例CHF出院患者作为研究对象,随机分为实验组和对照组各54例,实验组出院后实施延伸护理1年,包括定期电话和上门随访,提供药疗护理、饮食护理、康复锻炼和督导自我护理等.对照组进行常规的出院健康教育.比较2组患者在出院后第3,6个月及1年的遵医行为依从性及自我管理能力,并比较2组患者出院时、1年后各项生活质量评分.结果 2组患者在服药、饮食、定期复诊等方面依从性比较无显著差异,但在白测尿量、体质量、记录自我症状、体征及按要求运动等依从性方面实验组显著优于对照组.延伸护理后实验组患者在功能性生活指数、幸福度、老年人生活质量的评分均显著高于对照组.结论 延伸护理可改善患者的遵医行为,并提高老年CHF患者生活质量.
目的 探討延伸護理對老年慢性心力衰竭(CHF)患者齣院後遵醫行為依從性及生活質量的影響.方法 選擇老年心血管科病區符閤研究條件的108例CHF齣院患者作為研究對象,隨機分為實驗組和對照組各54例,實驗組齣院後實施延伸護理1年,包括定期電話和上門隨訪,提供藥療護理、飲食護理、康複鍛煉和督導自我護理等.對照組進行常規的齣院健康教育.比較2組患者在齣院後第3,6箇月及1年的遵醫行為依從性及自我管理能力,併比較2組患者齣院時、1年後各項生活質量評分.結果 2組患者在服藥、飲食、定期複診等方麵依從性比較無顯著差異,但在白測尿量、體質量、記錄自我癥狀、體徵及按要求運動等依從性方麵實驗組顯著優于對照組.延伸護理後實驗組患者在功能性生活指數、倖福度、老年人生活質量的評分均顯著高于對照組.結論 延伸護理可改善患者的遵醫行為,併提高老年CHF患者生活質量.
목적 탐토연신호리대노년만성심력쇠갈(CHF)환자출원후준의행위의종성급생활질량적영향.방법 선택노년심혈관과병구부합연구조건적108례CHF출원환자작위연구대상,수궤분위실험조화대조조각54례,실험조출원후실시연신호리1년,포괄정기전화화상문수방,제공약료호리、음식호리、강복단련화독도자아호리등.대조조진행상규적출원건강교육.비교2조환자재출원후제3,6개월급1년적준의행위의종성급자아관리능력,병비교2조환자출원시、1년후각항생활질량평분.결과 2조환자재복약、음식、정기복진등방면의종성비교무현저차이,단재백측뇨량、체질량、기록자아증상、체정급안요구운동등의종성방면실험조현저우우대조조.연신호리후실험조환자재공능성생활지수、행복도、노년인생활질량적평분균현저고우대조조.결론 연신호리가개선환자적준의행위,병제고노년CHF환자생활질량.
Objective To investigate the effects of extended care on the treatment compliance and the quality of life on discharged elderly patients with chronic heart failure. Methods One hundred and eight patients were randomly assigned to the experimental group and the control group with 54 patients in each, the experimental group received extended care for 1 year, including regular telephone and visit follow-up, supporting medical care, diet care, rehabilitation exercises and supervision of self-care. The control group underwent routine health education before discharge. Medical compliance and self-management ability were compared three months, six months and 1 year after discharge, evaluation score of life quality were also compared at discharge and one year after discharge between the two groups. Results There were no significant differences in medication, diet and regular follow-up visits between the two groups. However, the patients in the experimental group showed better compliance than the control group in the self-testing of urine, body weight,and recording of symptoms, body signs and required exercises. Additionally, the patients in the experimental group had higher scores than the control group in the daily life-skills, happiness and the quality of life. Conclusions The extended care significantly improved the treatment compliance and the quality of life in the elderly patients with chronic heart failure.
