规范化慢病管理对心力衰竭患者生活质量的影响

Effects of Chronic Disease Management on the Quality of Life in Patients With Heart Failure

目的评估规范化慢病管理对心力衰竭患者生活质量的影响。方法入选慢性心衰患者173例,分为管理干预组和常规诊疗组,对前者加以规范化慢病管理,3个月后使用明尼苏达慢性心力衰竭生活质量调查问卷,评估、比较两组患者生活质量的变化。结果两组患者主要基线临床特征无明显差异,管理干预组与常规诊疗组之间生活质量评分差异有统计学意义[(39.2±7.2)vs.(59.7±12.9),P<0.05]。结论以门诊与电话随访相结合的慢性心衰管理模式可以改善患者生活质量。

Objective To evaluate the effectiveness of chronic disease management on the quality of life of patients with heart failure. Methods 173 cases with chronic heart failure randomly divided into chronic disease management group and routine treatment group, then the former was treated with chronic disease management, evaluating and comparing the quality of life using the Minnesota living with heart failure questionnaire after three months. Results The baseline clinical characteristics were not difference between two groups, but the scores of the quality of life were significant difference at the end of the clinic research [（39.2±7.2） vs.（59.7±12.9）, P〈0.05]. Conclusion The chronic heart failure management mode including outpatient service combined with a telephone follow-up can improve the quality of life.