群组看病管理模式在社区慢性心力衰竭患者中的应用效果研究

The application effect of the group seeing a doctor management mode in patients with chronic heart failure in the community

目的:探讨群组看病管理模式在社区慢性心力衰竭患者中的应用效果。方法:将88例住院慢性心力衰竭患者按抛硬币分组法随机分为干预组(44例)和对照组(44例)。对照组实施自我管理模式,不给予任何方式的社区医疗干预措施,干预组患者实施群组看病管理模式,干预时间为1年。于干预前和干预3、6、9、12个月末,采用症状自评量表(SCL-90)、明尼苏达心力衰竭生活质量量表(LiHFe)以及再住院率评定两组干预效果。结果:干预组与对照组SCL-90、LiHFe干预前评分比较差异均无统计学意义(P>0.05);干预后,干预组SCL-90总分、LiHFe总分及再住院率均低于对照组,差异有统计学意义(P均<0.01)。结论:对社区慢性心力衰竭患者实施群组看病管理模式能够提高患者心理健康和生活质量、减少复发。

Objective：To explore the application effect of the group seeing a doctor management modein patients with chronic heart failure in the community. Methods： 88 with chronic heart failure（CHF） were randomly divided into intervention groups （44 cases） and the control group （44 casea ）. The control group was carried out self- management mode,they were not received any way community medical intervention measures, the intervention groups was carried out the group seeing a doctor management mode,the time last for one year. Before intervention and intervention for 3,6,9 and 12 months, two groups of intervention effect was assessed by SCL -90, LiHFe and rehospitalization rate. Results：Before intervention, the score of SCL -90, LiHFe in the two groups was not different（ P 〉0.05） ;after intervention,the score of SCL- 90 ,LiHFe and rehospitalization rate in the intervention groups was obviously lower than that in the control group （ P 〈 0.01 ）. Conclusion： Carrying out the group seeing a doctor management mode for the patients with CHF who was in the community can improve their psychological health and quality of life, reduce the recurrence.