CAJ | 학술논문

目的：探讨全程动态疾病管理模式对慢性心力衰竭（CHF）患者预后的影响。方法：入选180例 CHF 患者，随机分为试验组（n＝90）和对照组（n＝90）。对照组给予常规出院指导，试验组给予全程动态疾病管理模式。比较两组患者的生活质量、服药依从性、焦虑状态、抑郁状态、用药情况、左心室射血分数（LVEF）及6 min 步行距离等指标。结果：试验组患者生活质量、服用依从性、焦虑状态、抑郁状态、用药情况、LVEF及6 min 步行距离等指标均显著优于对照组（P ＜0．05）。结论：全程动态疾病管理模式可更有效改善 CHF 患者的预后。
목적：탐토전정동태질병관리모식대만성심력쇠갈（CHF）환자예후적영향。방법：입선180례 CHF 환자，수궤분위시험조（n＝90）화대조조（n＝90）。대조조급여상규출원지도，시험조급여전정동태질병관리모식。비교량조환자적생활질량、복약의종성、초필상태、억욱상태、용약정황、좌심실사혈분수（LVEF）급6 min 보행거리등지표。결과：시험조환자생활질량、복용의종성、초필상태、억욱상태、용약정황、LVEF급6 min 보행거리등지표균현저우우대조조（P ＜0．05）。결론：전정동태질병관리모식가경유효개선 CHF 환자적예후。
Objective:To evaluate the effect of whole dynamic disease management on the prognosis of patients with chronic heart failure (CHF). Methods:A total of 180 CHF patients recruited from January 2012 to January 2013 were randomly divided into conventional group (n=90)and interventional group (n = 90 ).Patients in conventional group received conventional discharge guidance,and whole dynamic disease management was provided in interventional group. Quality of life, medication compliance,anxiety state,depression state,left ventricular ejection fraction and 6-min walk test were recorded. Resuits:Life quality,medication compliance,anxiety state,depression state,6-min walk distance and heart function were significantly improved in interventional group compared with conventional group (P <0.05). Conciusion:The whole dynamic disease management for CHF patients can effectively improve the prognosis.