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简析社区护理干预对老年慢性心力衰竭患者自我护理能力影响

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论文导读:patientswassurveyedwithEHFScBS.Studygroupweregivencommunitynursinginterventionafterdischargeandregularlyfollowed-up.After6months,EHFScBSoftwogroupswerecompared.ResultsBeforetheintervention,EHFScBSscoresofdifferentageandNYHApatientswerecompared,thedifferences
[摘要] 目的 探讨老年慢性心力衰竭患者自我护理能力以及社区干预的效果。 策略 选择2013年1~11月在温州医科大学附属第一医院治疗的≥60岁的心力衰竭患者103例,随机分为研究组(51例)和对照组(52例)。两组护理干预前采用欧洲心力衰竭自我护理行为量表对患者的自我护理能力进行评估。研究组在出院后给予社区护理干预,并进行定期随访。干预6个月后,比较两组的再住院率、再住院次数、再住院天数以及自我护理能力评分。 结果 干预前,不同病程、心功能分级的患者自我护理能力评分比较,差异均有高度统计学作用(P < 0.01)。干预后,对照组再住院率(59.6%)显著高于研究组(39.2%),对照组再住院次数[(0.93±0.25)次]显著多于研究组[(0.48±0.12)次],对照组再住院天数[(14.89±3.17)d]显著多于研究组[(5.53±1.42)d],干预后研究组自我护理评分[(27.1±6.9)分]显著低于干预前和对照组,差异均有统计学意义(P < 0.05或P < 0.01)。 结论 老年慢性心力衰竭患者自我护理能力相对较弱,社区护理干预能够显著改善患者的自我护理能力。
[关键词] 慢性心力衰竭;自我护理能力;社区护理干预
[] A [文章编号] 1673-7210(2014)11(a)-0091-04
Effect of community nursing intervention on self-care of elderly patients with chronic heart failure
CHENG Xiaoxiao CHEN Xiufang CHEN Juan LU Sujuan ZHU Zaisheng
Department of Cadres Health Care, the First Affiliated Hospital of Wenzhou Medical University, Zhejiang Province, Wenzhou 325000, China
[Abstract] Objective To analyze the effect of community nursing intervention on self-care of elderly patients with chronic heart failure. Methods From January to November 2013, in the First Affiliated Hospital of Wenzhou Medical University, 103 cases of ≥60 years age patients with heart failure were selected and divided into study group (51 cases) and control group (52 cases). Before community nursing intervention, self-care of patients was surveyed with EHFScBS. Study group were given community nursing intervention after discharge and regularly followed-up. After 6 months, EHFScBS of two groups were compared. Results Before the intervention, EHFScBS scores of different age and NYHA patients were compared, the differences were statistically significant (P < 0.01). After the intervention, readmission rates (59.6%), readmission frequency [(0.93±0.25) times] and days of readmission [(14.89±3.17) d] in the control group were more than those in the study group [39.2%, (0.48±0.12) times, (5.53±1.42) d], EHFScBS of the study group [(27.1±6.9) points] were lower than those before the intervention and the control group, the differences were statistically significant (P < 0.05 or P < 0.01). Conclusion Self-care ability of elderly patients with chronic heart failur is relatively weak, and community nursing intervention can improve self-care ability of elderly patients with chronic heart failure.
[Key words] Chronic heart failure; Self-care; Community nursing intervention
慢性心力衰竭是临床常见病,预后不良,用于治疗慢性心力衰竭的费用已经成为医疗费用的主要支出之一。慢性心力衰竭是一个慢性过程,当患者在医院经过治疗后病情稳定,通常在家中进行疗养,因此患者的自我护理能力对患者的预后具有重要的作用,良好的自我护理能够降低患者住院次数,提高患者的生活质量[1-2]。而社区护理干预对提高患者的自我护理能力具有重要的作用[3]。本研究通过对103例患者的调查以及社区护理干预,探讨目前老年慢性心力衰竭患者自我护理水平以及社区护理干预对患者自我护理能力的影响,现将结果报道如下: 全文地址:www.7ctime.com/wkhllw/lw44085.html上一论文:简析宠物美容与护理课程改革