CAJ | 학술논문

目的：探讨连续性护理干预对老年慢性心力衰竭患者病情控制和自我护理能力的影响。方法选择住院治疗的慢性心力衰竭患者140例作为研究对象，随机分为观察组（n=70）和对照组（n=70），对照组给予常规循环内科护理，观察组患者出院后接受6个月内的定期电话随访及门诊随访，比较两组患者再住院率和天数、死亡率和自我护理评分。结果观察组患者再住院率低于对照组（P＜0.05），再住院次数和总天数均少于对照组（均P＜0.05），患者自我护理能力高于对照组（P＜0.05），死亡率两组间差异无统计学意义（P＞0.05）。结论连续性护理干预可以有效地控制老年慢性心力衰竭病情的发展，提高自我护理能力。
목적：탐토련속성호리간예대노년만성심력쇠갈환자병정공제화자아호리능력적영향。방법선택주원치료적만성심력쇠갈환자140례작위연구대상，수궤분위관찰조（n=70）화대조조（n=70），대조조급여상규순배내과호리，관찰조환자출원후접수6개월내적정기전화수방급문진수방，비교량조환자재주원솔화천수、사망솔화자아호리평분。결과관찰조환자재주원솔저우대조조（P＜0.05），재주원차수화총천수균소우대조조（균P＜0.05），환자자아호리능력고우대조조（P＜0.05），사망솔량조간차이무통계학의의（P＞0.05）。결론련속성호리간예가이유효지공제노년만성심력쇠갈병정적발전，제고자아호리능력。
Objective To observe the effect of the continuity of nursing intervention on controlling elderly patients with chronic heart failure. Methods 140 patients with chronic heart failure were randomly divided into the observation group and the control group(70 cases in each group), the control group received the conventional loop medical care, and the observation group received regular telephone follow-up and outpatient follow-up within six months, after 6 months, the readmission rate, number of day, mortality and self-care scores of the two groups were analyzed.ResultsThe readmission rate were lower than those of control group (P<0.05), number of readmission and total number of days of observation group were lower than those of control group (P<0.05), the ability of patients’self-care was better than that of control group (P<0.05), there was no statistical differences in mortality rate between the two groups (P >0.05).Conclusion The continuity of nursing intervention can effectively control the development of elderly patients with chronic heart failure, improve the ability of patients’self-care.