远程网络多学科合作团队延续护理对慢性心力衰竭患者心功能和生活质量的影响

Effect of Continuous Nursing of Remote Network Multidisciplinary Cooperation Team on Cardiac Function and Quality of Life in Patients with Chronic Heart Failure

目的观察远程网络多学科合作团队延续护理对慢性心力衰竭(CHF)患者心功能和生活质量的影响。方法以2021年1月-2022年1月天津市胸科医院治疗后出院的98例CHF患者为研究对象,采用随机数字表法分为对照组(49例)与观察组(49例)。对照组给予常规延续护理,观察组应用远程网络多学科合作团队延续护理,比较两组自护能力[自我护理能力测定量表(ESCA)]、服药依从性(Morisky服药依从性量表)、心功能[左心室射血分数(LVEF)、左心室舒张末期内径(LVDd)、左心室收缩末期内径(LVDs)]、生活质量[明尼苏达心力衰竭生活质量量表(MLHFQ)]、再住院情况及护理满意度。结果观察组护理后ESCA评分、Morisky服药依从性量表评分高于对照组(P<0.05);观察组护理后LVEF高于对照组,LVDd、LVDs低于对照组(P<0.05);观察组护理后MLHFQ评分低于对照组(P<0.05);观察组再入院率低于对照组,护理满意度高于对照组(P<0.05)。结论远程网络多学科合作团队延续护理可提高CHF患者的自护能力及服药依从性,改善其心功能与生活质量,降低再入院率,提高患者满意度。

Objective To observe the effect of continuous nursing of remote network multidisciplinary cooperative team on cardiac function and quality of life in patients with chronic heart failure(CHF).Methods From January 2021 to January 2022,98 patients with CHF who were discharged from Tianjin Chest Hospital after treatment were selected as the research objects.They were divided into control group(49 patients)and observation group(49 patients)by random number table method.The control group was given routine continuous nursing,while the observation group was given continuous nursing by remote network multidisciplinary cooperation team.The self-care ability[the Exercise of Self-care Agency Scale(ESCA)],medication compliance(Morisky Medication Adherence Scale),cardiac function[left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVDd),left ventricular end-systolic diameter(LVDs)],quality of life[Minnesota Living with Heart Failure Questionnaire(MLHFQ)],rehospitalization and nursing satisfaction were compared between the two groups.Results After nursing,the ESCA score and Morisky Medication Adherence Scale score of the observation group were higher than those of the control group(P<0.05).After nursing,LVEF in the observation group was higher than that in the control group,and LVDd and LVDs were lower than those in the control group(P<0.05).The MLHFQ score of the observation group after nursing was lower than that of the control group(P<0.05).The readmission rate of the observation group was lower than that of the control group,and the nursing satisfaction was higher than that of the control group(P<0.05).Conclusion Continuous nursing of remote network multidisciplinary cooperation team can improve the self-care ability and medication compliance of CHF patients,improve their cardiac function and quality of life,reduce readmission rate and improve patient satisfaction.