医护一体化管理模式对沙库巴曲缬沙坦治疗老年心力衰竭患者用药依从性及并发症的影响

Effect of integrated medical and nursing management mode on medication compliance and complications in elderly patients with heart failure treated with sacubitril/valsartan

目的观察医护一体化管理模式对沙库巴曲缬沙坦治疗老年心力衰竭患者用药依从性及并发症的影响。方法纳入2020年1月至12月江苏省人民医院心血管内科收治的老年心力衰竭患者106例,入院后给予强心、利尿等常规治疗,并在常规治疗的基础上加用沙库巴曲缬沙坦治疗。将106例患者按入院后管理方式的不同分为2组,对照组55例采用常规管理,医护一体化组51例采用医护一体化模式管理,患者出院后随访6个月。观察2组患者出院后总有效率、满意度、依从性和并发症发生率的差异。结果出院后6个月随访可见,与对照组相比,医护一体化组患者并发症发生率显著降低(P<0.05),而总有效率、用药依从性和满意度均显著提高(P<0.05)。结论对沙库巴曲缬沙坦治疗的老年心力衰竭患者而言,采用医护一体化管理模式可有效提高患者出院后的用药依从性,在提高总体疗效的同时还降低了并发症发生率。

Objective To observe the effect of integrated medical and nursing management mode on medication compliance and complications in elderly patients with heart failure treated with sakubatrel/valsartan.Methods One hundred and six patients with heart failure admitted to the Department of Cardiovascular Medicine of Jiangsu Provincial People's Hospital from January to December 2020 were included,and they were treated with sakobutrel/valsartan on the basis of conventional treatments such as cardiac strengthening and diuretic after admission.The 106 patients were divided into two groups according to the management mode used after admission:55 cases managed conventionally were included in a control group and 51 patients managed using integrated medical and nursing management mode were included in an integrated medical care group.The patients were followed for 6 months after discharge.The differences in total efficacy,satisfaction,compliance,and complication rates between the two groups were observed after discharge.Results At the 6-month follow-up after discharge,the complication rate in the integrated medical care group was significantly reduced compared with that of the control group(P<0.05),while the overall effective rate,medication compliance,and satisfaction were significantly higher(P<0.05).Conclusion For elderly heart failure patients treated with sakubatrel/valsartan,the integrated medical and nursing management mode can effectively improve patients'medication compliance after discharge,reduce the complication rate,and improve the overall efficacy.