确定-定义-产生-应用-计算-跟踪模式护理在射血分数保留的慢性心力衰竭患者中的应用效果

Application effects of IMPACT model nursing in patients with chronic heart failure with preserved ejection fraction

目的:观察确定-定义-产生-应用-计算-跟踪(IMPACT)模式护理在射血分数保留的慢性心力衰竭(HFpEF)患者中的应用效果。方法:选取2021年2月至2022年8月该院收治的114例HFpEF患者进行前瞻性研究,依据随机数字表法将其分成研究组与对照组各57例。对照组采用常规护理,研究组在对照组基础上采用IMPACT模式护理,比较两组遵医优良率、护理前后自我护理能力[自我护理能力测定表(ESCA)]评分、健康行为素养[健康促进生活方式量表(HPLP)]评分、自我效能感[自我效能感量表(GSES)]评分和护理满意度[服务质量量表(SERVQUAL)]。结果:研究组遵医优良率为89.47%(51/57),高于对照组的73.68%(42/57),差异有统计学意义(P<0.05);护理3、6个月后,两组ESCA评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);两组HPLP、GSES评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);研究组有形性、移情性、保证性、可靠性、反应性等护理满意度评分均高于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用IMPACT模式护理可提高HFpEF患者遵医优良率、ESCA评分、HPLP评分、GSES评分和护理满意度,其效果优于单纯常规护理。

Objective:To observe application effects of identificaiton-measurement-production-application-calculation-tracking(IMPACT)model nursing in patients with chronic heart failure with preserved ejection fraction(HFpEF).Methods:A prospective study was conducted on 114 patients with HFpEF admitted to this hospital from February 2021 to August 2022.According to the random number table method,they were divided into study group and control group,57 cases in each group.The control group was given routine nursing,while the study group was given the IMPACT model nursing on the basis of that of the control group.The excellent and good rate of compliance,the self-care ability scores before and after the nursing[exercise of self-care agency scale(ESCA)],the health behavior literacy[health-promoting lifestyle profile(HPLP)]score,the self-efficacy[general self-efficacy scale(GSES)]score,and the nursing satisfaction[service quality scale(SERVQUAL)]were compared between the two groups.Results:The excellent and good rate of compliance in the study group was 89.47%(51/57),which was higher than 73.68%(42/57)in the control group,and the difference was statistically significant(P<0.05).After 3 and 6 months of nursing,the ESCA scores of the two groups were higher than those before the nursing,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).The HPLP and GSES scores of the two groups were higher than those before the nursing,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction scores of tangibility,empathy,assurance,reliability and responsiveness in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the IMPACT model nursing can improve the excellent and good rate of compliance,the ESCA scores,the HPLP scores,the GSES scores and the nursing satisfaction of the HFpEF patients.Moreover,it is superior to single routine nursing.