出院计划对慢性心力衰竭患者自护能力及生活质量的影响

Effect of discharge plan on self-care ability and quality of life of patients with chronic heart failure

目的 探究出院计划对慢性心力衰竭患者护理中对自护能力及生活质量的影响。方法 选取本院2015年1月至2016年6月收治的慢性心力衰竭患者68例作为对照组,采用常规护理;另选取本院2016年7月至2017年12月收治的慢性心力衰竭患者68例作为观察组,患者住院期间进行评估,并制定出院计划,出院后以1个月为干预周期,按计划内容进行轮番干预,共6个月。对比两组护理前后自护能力、生活质量及预后情况。结果 观察组护理6个月后自护能力、自护责任感、自我概念、知识水平评分分别为(31.56±5.62)分、(20.75±2.37)分、(25.33±2.42)分、(51.65±6.53)分,均高于对照组,差异均有统计学意义(均P<0.05);观察组护理6个月后生理机能、生理职能、情感职能、活力、躯体疼痛、总体健康、精神健康、社会功能评分分别为(79.49±3.19)分、(73.01±3.47)分、(83.79±4.15)分、(81.48±5.22)分、(84.36±4.34)分、(81.84±3.65)分、(84.22±3.19)分、(87.84±3.42)分,均高于对照组,差异均有统计学意义(均P<0.05);观察组再入院率为30.88%,LVEF为(57.84±4.27)%,均优于对照组,差异均有统计学意义(均P<0.05)。结论 出院计划应用于慢性心力衰竭患者护理可有效改善其自护能力及预后情况,提高生活质量,值得临床推广。

Objective To explore the effect of discharge plan on the self-care ability and quality of life of patients with chronic heart failure.Methods Sixty-eight patients with chronic heart failure undergoing routine nursing from January,2015 to June,2016 at our hospital were selected as a control group.And 68 patients with chronic heart failure treated at our hospital from July,2016 to December,2017 were selected as an observation group;hospital discharge plans were made,and the patients were intervened according to the plan for 6 months,one month as a cycle.The self-care ability,quality of life,and readmission rate were compared between the two groups before and after the nursing care.Results After 6 months’nursing care,the scores of self-care ability,selfcare responsibility,self-concept,and knowledge level of the observation group were(31.56±5.62),(20.75±2.37),(25.33±2.42),and(51.65±6.53),which were higher than those of the control group,with statistical differences(all P<0.05);the scores of physiology,physiological function,emotional function,vitality,physical pain,general health,mental health,and social function of the observation group were(79.49±3.19),(73.01±3.47),(83.79±4.15),(81.48±5.22),(84.36±4.34),(81.84±3.65),(84.22±3.19),and(87.84±3.42),which were higher than those of the control group,with statistical differences(all P<0.05).The readmission rate was 30.88%and the LVEF was(57.84±4.27)%in the observation group,which were better than those in the control group,with statistical differences(both P<0.05).Conclusions Hospital discharge plans for patients with chronic heart failure can effectively improve their self-care ability and quality of life and reduce the readmission rate,so it is worth being clinically generalized.