延续性护理对慢性心衰患者自护行为及预后的影响

Effect of continuous nursing on self-care and prognosis of chronic heart failure patients

目的采用延续性护理提高慢性心衰患者自我行为,改善预后。方法将60例即将出院的慢性心衰患者随机分为2组,观察组出院后实施延续性护理,对照组仅嘱按时复查,3个月后,比较2组的健康知识、自我护理能力、预后以及生活质量情况。结果观察组在防治知识、用药知识、自我管理等方面的健康知识评分高于对照组,在自我概念、自我责任感、自我护理技能方面的自护能力高于对照组,差异均有统计学意义(P<0.05)。观察组心脏性猝死、心肌梗死、恶性心律失常等发生率低于对照组,生活质量的改善率高于对照组,差异均有统计学意义(P<0.05)。结论延续性护理能够满足患者出院后的护理需求,有利于提高患者的自护能力,可改善预后。

Objective To explore continuous nursing in improving the self-care behavior and prognosis of chronic heart failure patients. Methods A total of 60 chronic heart failure patients discharging were randomly divided into observation group and control group, the observation group was given continuous nursing after discharge, the control group was only told to timely reexamination. After 3 months, health knowledge, self-care ability, prognosis and life quality of two groups were compared. Results The health knowledge score in prevention knowledge, medication knowledge, self management and other aspects in the observation group was higher than that in the control group, the scores of self concept, self responsibility, self care skill and ability were higher than that in the control group, there were statistically significant differences （P 〈 0.05）. The rate of cardiac sudden death, myocardial infarction, and malignant arrhythmia in the observation group was lower than that in the control group, the improvement of life quality was higher than that in the control group, which showed statistically significant differences （P 〈 0.05）. Conclusion Continuous nursing can meet the nursing demand for patients after discharge and improve self-care ability and prognosis.