中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2014年
35期
98-101
,共4页
李心畅%焦明丽%黄照权%石武祥
李心暢%焦明麗%黃照權%石武祥
리심창%초명려%황조권%석무상
慢性心力衰竭%强化管理干预%治疗依从性%心功能%生活质量%预后
慢性心力衰竭%彊化管理榦預%治療依從性%心功能%生活質量%預後
만성심력쇠갈%강화관리간예%치료의종성%심공능%생활질량%예후
Chronic heart failure%Strengthen the management of intervention%Treatment compliance%Heart function%Quality of life%Prognosis
目的：探讨强化管理干预对慢性心力衰竭患者治疗依从性、心功能、生活质量及预后的影响。方法选择2013年9月~2014年9月入住大庆油田总医院心内科的充血性心力衰竭患者100例作为观察对象，随机分为强化管理干预组50例和常规管理干预组50例，比较两组患者的治疗依从性及两组患者治疗前后心功能各项指标、生活质量及预后情况。结果强化管理干预组其完全依从率达84%，显著高于常规管理干预组（P<0.05）。强化管理干预组的HR、LVEF、CO及E/A较常规管理干预组显著改善，其生活质量各项评分也较常规管理干预组显著改善（P<0.05）。且强化管理干预组再次住院率16.0%，显著低于常规管理干预组（P<0.05）。强化管理干预组的病死率2.0%，略低于常规管理干预组。结论对慢性充血性心力衰竭患者实施强化管理，可以提高其治疗依从性，明显改善心衰患者心功能及预后，提高心衰患者的生活质量。
目的：探討彊化管理榦預對慢性心力衰竭患者治療依從性、心功能、生活質量及預後的影響。方法選擇2013年9月~2014年9月入住大慶油田總醫院心內科的充血性心力衰竭患者100例作為觀察對象，隨機分為彊化管理榦預組50例和常規管理榦預組50例，比較兩組患者的治療依從性及兩組患者治療前後心功能各項指標、生活質量及預後情況。結果彊化管理榦預組其完全依從率達84%，顯著高于常規管理榦預組（P<0.05）。彊化管理榦預組的HR、LVEF、CO及E/A較常規管理榦預組顯著改善，其生活質量各項評分也較常規管理榦預組顯著改善（P<0.05）。且彊化管理榦預組再次住院率16.0%，顯著低于常規管理榦預組（P<0.05）。彊化管理榦預組的病死率2.0%，略低于常規管理榦預組。結論對慢性充血性心力衰竭患者實施彊化管理，可以提高其治療依從性，明顯改善心衰患者心功能及預後，提高心衰患者的生活質量。
목적：탐토강화관리간예대만성심력쇠갈환자치료의종성、심공능、생활질량급예후적영향。방법선택2013년9월~2014년9월입주대경유전총의원심내과적충혈성심력쇠갈환자100례작위관찰대상，수궤분위강화관리간예조50례화상규관리간예조50례，비교량조환자적치료의종성급량조환자치료전후심공능각항지표、생활질량급예후정황。결과강화관리간예조기완전의종솔체84%，현저고우상규관리간예조（P<0.05）。강화관리간예조적HR、LVEF、CO급E/A교상규관리간예조현저개선，기생활질량각항평분야교상규관리간예조현저개선（P<0.05）。차강화관리간예조재차주원솔16.0%，현저저우상규관리간예조（P<0.05）。강화관리간예조적병사솔2.0%，략저우상규관리간예조。결론대만성충혈성심력쇠갈환자실시강화관리，가이제고기치료의종성，명현개선심쇠환자심공능급예후，제고심쇠환자적생활질량。
Objective To investigate the effect of strengthening intervention management on the compliance, heart func-tion, life quality and prognosis for the patients with chronic heart failure. Methods From September 2013 to September 2014, 100 cases admitted to the Department of Cardiology of General Hospital of Daqing Oil Field in patients with congestive heart failure were selected as the observation objects, they were randomly divided into strengthening the management of intervention group 50 cases and routine management of the intervention group 50 cases, treatment com-pliance and cardiac function index, life quality and prognosis the situation of the patients before and after treatment were compared between the two groups. Results The complete compliance rate of strengthen the management of inter-vention group was 84%, significantly higher than that of the conventional management intervention group (P<0.05). HR, LVEF, CO and E/A of strengthen the management of intervention group significantly improved than the control group, the quality of life scores also improved significantly compared with the conventional management intervention group (P<0.05). And rehospitalization rate of strengthen the management of intervention group was 16.0%, significantly lower than that of the conventional management intervention group, and the mortality rate of strengthen the management of intervention group was 2.0%, was slightly lower than the conventional management intervention group. Conclusion The implementation of strengthening the management of patients with chronic congestive heart failure, can improve the treatment compliance, significantly improve cardiac function and prognosis in patients with heart failure, improve the quality of life of patients with heart failure.
