延续性护理模式对老年心衰患者治疗依从性及生活质量的影响

Influence of continuous nursing model on treatment compliance and quality of life of elderly patients with heart failure

【目的】探讨延续性护理模式应用于老年心衰患者中的效果。【方法】选择我院收治的老年慢性心衰患者136例,按随机数字表法分为对照组(n=68)与观察组(n=68)。对照组接受常规出院护理与指导,观察组在对照组基础上开展延续性护理,两组均护理6个月。比较两组治疗依从性、自我管理能力及生活质量。【结果】观察组治疗依从性高于对照组(P<0.05);出院时,两组自我管理能力、生活质量评分比较,差异无统计学意义(P>0.05);出院后6个月,观察组自我管理能力评分高于对照组,生活质量评分低于对照组(P<0.05)。【结论】延续性护理模式可有效提高老年心衰患者治疗依从性及自我管理能力,改善生活质量。

【Objective】To explore the effect of continuous nursing mode applied to elderly patients with heart failure.【Methods】The 136 elderly patients with chronic heart failure admitted to our hospital were selected and divided into control group(n=68)and observation group(n=68)according to the random number table method.The control group received routine discharge care and guidance,and the observation group carried out continuous nursing on the basis of the control group.Both groups received nursing care for 6 months.The treatment compliance,self-management ability and quality of life were compared between the two groups.【Results】The treatment compliance of the observation group was higher than that of the control group(P<0.05);At discharge,the comparison of self-management ability and quality of life scores between the two groups was not statistically significant(P>0.05);Six months after discharge,the self-management ability score of the observation group was higher than that of the control group,and the quality of life score was lower than that of the control group(P<0.05).【Conclusion】Continuous nursing model can effectively improve the treatment compliance and self-management ability of elderly patients with heart failure,and improve the quality of life.