基于护士主导的自我管理教育对慢性心力衰竭患者生活质量的影响

Effect of self-management education based on nurse-leading on the quality of life in patients with chronic heart failure

目的：探讨基于护士主导的自我管理教育对慢性心力衰竭患者生活质量的影响。方法选取2014年10月—2015年5月收治于某三甲医院心衰专科病房的慢性心力衰竭患者80例，根据随机数字随机分为对照组和干预组各40例，对照组采用传统自我管理教育方式，干预组采用基于护士主导的自我管理教育方式。6个月后评价患者自我管理水平和生活质量改变情况。结果干预6个月后，干预组患者自我管理总分（70.83±12.02）分，对照组（55.58±6.46）分，两组比较差异有统计学意义（t=9.675， P＜0.05）；干预后干预组自我管理各项得分和总体生活质量得分均高于对照组，两组比较差异有统计学意义（P＜0.05）。结论基于护士主导的自我管理教育能够提高慢性心力衰竭患者自我管理水平和生活质量。

Objective To evaluate the effect of self-management education based on nurse-leading on the quality of life in patients with chronic heart failure （CHF）.Methods Eighty patients with CHF in a tertiary hospital were enrolled in this study,and were divided into the intervention group and the control group randomly,with 40 cases in each group. Patients in the control group received conventional health education, while patients in the intervention group received the self-management education based on nurse-leading. The score of self-management behavior and the quality of life in two groups were evaluated and compared after six months.Results After six months,the score of self-management in the intervention group was （70.83±2.02）, and was significantly higher than that in the control group （55.58±.46） （t=9.675,P〈0.05）. The score of total quality of life and self-management in the intervention group was significantly higher than that in the control group （P〈0.05）.Conclusions Self-management education based on nurse-leading can improve the self-management and the quality of life of patients with CHF.