CAJ | 학술논문

目的探讨院外多因素素强化护理干预对慢性心力衰竭患者自我管理能力及相关临床指标的影响.方法采用前瞻性随机对照方法,将215例出院的心力衰竭患者随机分为普通随访组和强化护理干预组,通过1年的随访观察,最终完成随访的患者共计205例.普通随访组98例仅进行常规的门诊随访,强化护理干预组患者107例接受电话咨询、专门的心力衰竭门诊随诊及定期健康宣教、心理护理.比较干预后2组的自我管理能力及相关的临床指标水平.结果强化护理干预组和普通组相比较,限水限钠达标率和坚持每天监测体质量的比例大幅度增加,强化护理干预组左室射血分数高于普通组;与普通组相比,强化护理干预组NT-pro-BNP降低更明显,且6 min步行试验优于普通组.2组再次入院和总心血管事件发生率比较差异有统计学意义,强化护理干预措施显著降低了死亡和再住院联合终点事件的发生率.结论对慢性心力衰竭的患者进行院外强化护理干预,可以提高患者的自我管理能力、改善心功能、降低再住院率和心血管事件发生率.
목적 탐토원외다인소소강화호리간예대만성심력쇠갈환자자아관리능력급상관림상지표적영향.방법 채용전첨성수궤대조방법,장215례출원적심력쇠갈환자수궤분위보통수방조화강화호리간예조,통과1년적수방관찰,최종완성수방적환자공계205례.보통수방조98례부진행상규적문진수방,강화호리간예조환자107례접수전화자순、전문적심력쇠갈문진수진급정기건강선교、심리호리.비교간예후2조적자아관리능력급상관적림상지표수평.결과 강화호리간예조화보통조상비교,한수한납체표솔화견지매천감측체질량적비례대폭도증가,강화호리간예조좌실사혈분수고우보통조;여보통조상비,강화호리간예조NT-pro-BNP강저경명현,차6 min보행시험우우보통조.2조재차입원화총심혈관사건발생솔비교차이유통계학의의,강화호리간예조시현저강저료사망화재주원연합종점사건적발생솔.결론 대만성심력쇠갈적환자진행원외강화호리간예,가이제고환자적자아관리능력、개선심공능、강저재주원솔화심혈관사건발생솔.
Objective To observe the efficacy of multifactor intensive nursing intervention on chronic heart failure patients with outside hospital treatment,including self-management ability and related clinical indicators.Methods By application of prospective study,a total of 215 patients with chronic heart failure discharged from hospital were randomized into the usual care group (105 cases) and the intensive nursing intervention group (1 10 cases).Patients were followed up for 12 months,and 205 patients completed the follow-up.The usual care group only received conventional outpatient follow-up,the intensive intervention group patients received telephone counseling,more detailed clinical follow-up and regular health education.The intervention effect was compared between two groups.Results Compared with the usual care group,the passing rate of sodium/water limit and daily monitoring of weight was higher in the intensive intervention group.Left ventricular ejection fraction and six-minute walking test were better in the intensive intervention group,while the level of NT-pro-BNP was lower in the intensive intervention group.Compared with the usual care group,re-hospitalization rate and incidence of cardiovascular events were lower in the intensive intervention group.Conclusions Multifactor intensive nursing intervention is helpful on improving self-management ability,alleviate cardiac function,reduce re-hospitalization rate and incidence of cardiovascular events for chronic heart failure patients.