互联网+家庭赋权模式护理在心力衰竭患者中的应用效果

Application effect of internet plus family empowerment model nursing in patients with heart failure

目的探析互联网+家庭赋权模式护理在心力衰竭(简称“心衰”)患者心脏康复中的实施效果。方法以2021年1月至2022年12月右江民族医学院附属医院收治的70例心衰患者为研究对象,采取抽签法将其分为2组,即对照组和干预组,各35例。对照组实施常规护理,干预组实施互联网+家庭赋权模式护理。比较2组的服药依从性、心功能指标水平、心源性再入院率及生活质量。结果出院第1个月、第3个月和第6个月,2组的Frankl依从量表评分均较出院时提高,明尼苏达心力衰竭生命质量调查表评分均较出院时降低(P均<0.05),且干预组均较同期对照组更优(P均<0.05)。出院第1个月、第3个月和第6个月,2组的左室射血分数、六分钟步行试验距离、左室舒张末期内径、氨基末端B型利钠肽前体水平均较出院时更优(P均<0.05),且干预组均优于同期对照组(P均<0.05)。出院第1个月、第3个月和第6个月,干预组的心源性再入院率均较同期对照组更低(P均<0.05)。结论互联网+家庭赋权模式护理可提升心衰患者的服药依从性和生活质量,改善其心功能指标水平,降低其心源性再入院率。

Objective To explore the implementation effect of internet plus family empowerment model nursing in cardiac rehabilitation of patients with heart failure.Methods Seventy patients with heart failure admitted to the Affiliated Hospital of Youjiang Medical University for Nationalities from January 2021 to December 2022 were selected as the research subjects.They were divided into two groups using a lottery method,namely the control group and the intervention group,with 35 cases in each group.The control group received routine nursing,while the intervention group received internet plus family empowerment model nursing.Medication compliance,cardiac function index levels,cardiogenic readmission rate,and quality of life were compared between the two groups.Results At the first,third,and sixth month after discharge,the Frankl Compliance Scale scores of both groups increased compared to discharge,and the Minnesota Living with Heart Failure Questionnaire scores of both groups decreased compared to discharge(all P<0.05),and the above scores were better in the intervention group than in the control group during the same period(all P<0.05).At the first,third,and sixth months after discharge,the left ventricular ejection fraction,six-minute walking test distance,left ventricular end-diastolic diameter,and N-terminal B-type natriuretic peptide precursor levels in both groups were better than those at discharge(all P<0.05),and the above indicators were better in the intervention group than in the control group during the same period(all P<0.05).At the first,third,and sixth months after discharge,the cardiogenic readmission rates in the intervention group were lower than those in the control group during the same period(all P<0.05).Conclusion Internet plus family empowerment model nursing can improve the medication compliance and quality of life of patients with heart failure,improve their cardiac function indicators,and reduce the cardiogenic readmission rate.