CAJ | 학술논문

目的探讨延伸护理对老年慢性心力衰竭患者出院后自我管理能力和生存质量的影响.方法将68例治愈出院的老年慢性心力衰竭患者随机分为干预组和对照组,每组34例.对照组实施出院健康教育等常规护理,干预组患者除常规护理外,增加延伸护理,后者包括定期电话随访,上门服务,督导遵医用药,预约复诊和安排入院,指导合理饮食与运动休息等.1年后,比较两组患者的自我管理能力、依从性和生存质量.结果干预组在自测血压、体重、尿量、低盐饮食、定期用药、遵医用药和依从性方面好于对照组,差异均有统计学意义(P＜(0.05);干预组在5个功能领域,三个症状领域,一个总体健康状况方面明显优于对照组,差异均有统计学意义(P＜0.01).结论延伸护理能提高使患者自我管理能力、遵医用药依从性,显著提高患者生存质量.
목적 탐토연신호리대노년만성심력쇠갈환자출원후자아관리능력화생존질량적영향.방법 장68례치유출원적노년만성심력쇠갈환자수궤분위간예조화대조조,매조34례.대조조실시출원건강교육등상규호리,간예조환자제상규호리외,증가연신호리,후자포괄정기전화수방,상문복무,독도준의용약,예약복진화안배입원,지도합리음식여운동휴식등.1년후,비교량조환자적자아관리능력、의종성화생존질량.결과 간예조재자측혈압、체중、뇨량、저염음식、정기용약、준의용약화의종성방면호우대조조,차이균유통계학의의(P＜(0.05);간예조재5개공능영역,삼개증상영역,일개총체건강상황방면명현우우대조조,차이균유통계학의의(P＜0.01).결론 연신호리능제고사환자자아관리능력、준의용약의종성,현저제고환자생존질량.
Objective To explore the effects of extended care for the elderly patients with chronic heart failure in self management ability and the influence of the quality of life after discharge.Methods 68 cases with chronic heart failure were randomly divided into intervention group and control group,34 cases in each group.The control group received a routine nursing services such as hospital health education,intervention group got an increasing nursing,which included regular telephone follow-up,door-to-door service,supervision,making an appointment to visit in hospital,guiding the reasonable diet and exercise.1 year later,the comparison of the two groups of patients was observed in self management ability and quality of life.Results Intervention group in the self-management ability and the adherence were better than those of the control group,there are significant difference statistically (P ＜ 0.05); Intervention group patients' quality of life was better than those of control group,there is a very significant statistical difference (P ＜ 0.01).Conclusion Extended care can improve patients' self management ability,according to medical drug adherence,significantly improving the quality of survival.