个案管理模式在慢性心力衰竭患者管理中的效果评价

Evaluation of the effect of case management model in the management of patients with chronic heart failure

目的探究个案管理模式在慢性心力衰竭患者管理中的应用价值。方法选取2014年1月~2015年8月我院心内科慢性心力衰竭患者100例,区组随机化法分为两组,其中对照组在接受治疗期间应用常规的管理模式进行管理,实验组在接受治疗期间应用个案管理模式进行管理,对比两组慢性心力衰竭患者管理结果的差异性。结果实验组慢性心力衰竭患者的总满意度(96.00%)明显高于对照组(82.00%),差异有统计学意义(P<0.05)。干预前两组患者的SDS、SAS评分比较,差异无统计学意义(P>0.05)。干预后两组患者的SDS、SAS评分均有所降低,与干预前比较,差异有统计学意义(P<0.05);实验组患者干预后SAS、SDS评分低于对照组,差异有统计学意义(P<0.05)。实验组心脏检查结果恢复正常时间、住院时间明显短于对照组,差异有统计学意义(P<0.05)。结论在慢性心力衰竭患者管理中实施个案管理模式,可有效对患者的心理状态进行改善,缩短患者的康复时间,同时可以提高患者的满意程度,具有较高的应用价值。

Objective To explore the effect of case management model in the management of patients with chronic heart failure.Methods Altogether 100 cases of patients with chronic heart failure who were treated in Department of Cardiol- ogy of our hospital from January 2014 to August 2015 were selected and randomly divided into two groups;control group received the conventional management mode during the course of treatment;while,experiment group received case management mode during the course of treatment.The difference between the management of patients with chronic heart failure of two groups were compared.Results The total satisfaction degree of experiment group （96.00%） was significantly higher than that of control group（82.00%）,and the differences were statistically signifieant（P〈0.05）.Before intervention, there were no significantly different of SDS,SAS scores between two groups （P〉0.05）;after intervention, the scores of SDS,SAS of two groups were all decreased and compared with those before intervention,the differences were statistically significant （P〈0.05）,and those in experiment group was lower than those in control group,and the differences were sta- tistically significant （P〈0.05）.Aeeording to the cardiac examination results,the recovery time and hospitalization time of experiment group were significantly shorter than those of control group,and the differences were statistically significant （P〈0.05）.Conelusion Implementation of case management model in the management of patients with chronic heart fail- urecan effectively improve the patients＇ psychological state and satisfaction degree,shorten the recovery time,which is of great application value.