摘要
目的：运用自我管理软件建立新的疾病自我管理模式,实现对心力衰竭患者疾病的连续性管理,改善疾病预后。方法：选取2013年9月-2015年9月我院接受治疗的心力衰竭患者64例,随机分为对照组31例,试验组33例,对照组采用常规护理;试验组在常规护理基础上运用自我管理APP软件对患者实施为期6个月的疾病管理,并电话随访干预,评价患者半年后自我护理行为和服药依从性。结果：患者的服药依从性试验组高于对照组,在自我护理行为能力方面,试验组患者在体重测量、症状就诊、运动锻炼、液体摄入方面优于对照组,差异有统计学意义（P〈0.05）。结论：运用自我管理APP让患者和家属主动参与药物、体重、运动、症状等方面的自我管理,提高遵医行为,改善预后,体现以患者为中心,展示个性化的健康管理新思维。
Objective： To apply self- management software to establish new disease self- management mode,achieve continuous management on heart failure patients＇ disease,and improve disease prognosis. Methods： Selected 64 heart failure patients receiving treatment in our hospital from September 2013 to September 2015,randomly divided them into control group with 31 patients and experimental group with 33 patients. The control group adopted routine nursing; the experimental group applied self- management APP software on the basis of routine nursing to implement 6- month disease management on patients,conducted telephone follow- up intervention,assessed patients＇ self- nursing behavior and medication compliance after half a year. Results： The medication compliance of patients in the experimental group was higher than that of the control group. In self- nursing behavior ability,patients in the experimental group were better than those of the control group in aspects of weight measurement,symptom treatment,exercise and liquid absorption,and the differences were of statistical significance（ P〈0. 05）. Conclusion： Applying self- management APP can make patients and their families positively participate in self- management in aspects of medicine,weight,exercise and symptom,enhance treatment compliance,improve prognosis,embody patient- oriented concept and show new individualized health management thinking.
出处
《护理实践与研究》
2016年第17期44-46,共3页
Nursing Practice and Research
关键词
自我管理软件
心力衰竭
疾病自我管理
Self-management software
Heart failure
Disease self-management
