延续性护理在慢性心力衰竭合并心房颤动胆结石患者中的应用效果

Application effect of continuity nursing in patients with chronic heart failure gallstone complicated with atrial fibrillation

目的探讨延续性护理在慢性心力衰竭(CHF)合并心房颤动胆结石患者中的应用效果。方法选取2015年4月~2018年6月在我院门诊就诊的200例CHF合并心房颤动胆结石患者,按随机数字表法分为对照组和干预组,每组各100例。两组均给予按医嘱服药、按时复查等指导,干预组在对照组的基础上给予延续性护理,比较两组的自我护理能力、院外服药依从性及预后效果。结果干预组自护行为能力评分显著高于对照组(P<0.05);干预组院外服药总依从率为85.00%,显著高于对照组的65.00%(P<0.05),干预组干预后效果显著好于对照组(P<0.05)。结论延续性护理能满足患者的医疗需求,在CHF合并心房颤动胆结石患者中的应用效果明显,对预后效果有积极的影响,能节约医疗资源,值得在临床进一步推广。

Objective To explore the effect of continuity nursing on patients with chronic heart failure(CHF) and atrial fibrillation gallstone with self-care behavior and external medication compliance. Methods All of 200 cases of patients with CHF and atrial fibrillation gallstone in our hospital from April 2015 to June 2018 were selected. According to random number table method, they were divided into the control group and the intervention group, 100 cases in each group. Two groups of patients were told take medicine as prescribed when they left hospital, intervention group were given continuously nursing on the basis of control group, two groups patients self care ability and medication compliance and prognosis were compared. Results After discharge, the self-care ability score of the intervention group was significantly higher than that of the control group(P<0.05). The external medication total compliance of the intervention group was 85.00%, significantly higher than 65.00% of the control group(P<0.05), and the prognosis effect of the intervention group was significantly better than that of the control group(P<0.05). Conclusion To patients with CHF and atrial fibrillation gallstone were given continuous medical treatment. It can satisfied the patients self-care behavior and external medication compliancec needs when they left hospital, and improve the patients′ behavior and medication adherence. This is meaningful and worth promoting further in clinic.