自我管理模式对慢性心衰患者自我管理状况、生活质量与预后的影响

Effect of self-management model on self-management status,quality of life and prognosis in patients with chronic heart failure

目的探讨自我管理模式对慢性心衰患者自我管理状况、生活质量与预后的影响。方法选择2019年1月至2019年12月新疆乌鲁木齐市友谊医院收治的慢性心衰患者116例,按随机数表法分为两组,每组58例。两组患者院内均接受两次自我管理教育培训,观察组在出院后接受基于移动设备的自我管理模式支持,比较两组的自我管理状况、生活质量及预后。结果两组出院前1天SCHFI、MLHFQ评分比较,差异无统计学意义(P>0.05);出院后3个月、6个月观察组的SCHFI评分均高于对照组,MLHFQ评分均低于对照组,差异有统计学意义(P<0.05)。观察组急性发作急诊率、再住院率均低于照组,差异有统计学意义(P<0.05)。结论自我管理模式能明显改善慢性心衰患者的自我管理状况,提升患者生活质量,利于预后。

Objective To explore the effect of self-management mode on self-management status,quality of life and prognosis of patients with chronic heart failure.Methods 116 patients with chronic heart failure admitted to the friendship hospital of Urumqi from January 2019 to December 2019 were divided into two groups according to the random number table method,with 58 patients in each group.The two groups of patients received two self-management education training in the hospital.The observation group received the support of the mobile device-based self-management model after discharge,and compared the self-management status,quality of life,and prognosis of the two groups.Results There was no significant difference in the SCHFI and MLHFQ scores between the two groups 1 day before discharge(P>0.05).The SCHFI scores of the observation group at 3 and 6 months after discharge were higher than that of the control group,and the MLHFQ scores were lower than that of the control group.The difference was statistically significant(P<0.05).The acute attack rate and rehospitalization rate in the observation group were lower than that of the control group,and the differences were statistically significant(P<0.05).Conclusions The self-management model can significantly improve the self-management status of patients with chronic heart failure,improve the quality of life of patients,and benefit the prognosis.