基于多学科协作的缓和医疗在心力衰竭患者中的应用

Application of palliative care based on multidisciplinary collaboration in patients with heart failure

目的探讨基于多学科协作的缓和医疗在心力衰竭(heart failure,HF)患者中的应用效果。方法采用便利抽样法,选取2022年11月-2023年5月我院心血管内科收治的156例HF患者为研究对象,采用随机数字表法分为对照组和观察组各78例,中途对照组1例无法取得联系,观察组2例拒绝随访、2例无法取得联系,最终有效样本量为151例,其中对照组77例,观察组74例。对照组给予常规护理,观察组在对照组基础上给予基于多学科协作的缓和医疗干预。分别于干预前和干预3个月后对2组患者的生活质量和焦虑抑郁水平进行比较,并于干预3个月后对2组患者再入院情况进行观察和比较。结果干预前2组患者生活质量和焦虑抑郁水平比较,差异均无统计学意义(均P>0.05);干预3个月后,观察组生活质量和焦虑抑郁水平均优于对照组(均P<0.05)。干预3个月后,观察组患者再入院率低于对照组(P<0.05)。结论基于多学科协作的缓和医疗可有效改善心力衰竭患者的生活质量和情绪状态,降低患者的再入院率,值得临床推广应用。

Objective To explore the application effect of palliative care based on multidisciplinary collaboration in patients with heart failure(HF).Methods A total of 156 HF patients admitted to the cardiovascular department of our hospital from November 2022 to May 2023 were selected as the study objects by convenience sampling method,and were divided into the control group(n=78)and the observation group(n=78)by random number table method.In the middle of the study,1 case in the control group could not be contacted,2 cases in the observation group refused to follow-up and 2 cases could not be contacted,and the final effective sample size was 151 cases,including 77 cases in the control group and 74 cases in the observation group.The control group was treated with usual standard care,while the observation group was given palliative care intervention on the basis of the control group.Before and after 3 months of intervention,quality of life,levels of anxiety and depression were compared between 2 groups,and the readmission situation of 2 groups were observed and compared after 3 months of intervention.Results There was no significant difference in quality of life and anxiety and the level of anxiety and depression between 2 groups before intervention(all P<0.05);After 3 months of intervention,the quality of life and the level of anxiety and depression in the observation group were better than those in the control group(all P<0.05).The readmission rate of the observation group was lower than that of the control group(P<0.05).Conclusions The palliative care based on multidisciplinary collaboration can effectively improve quality of life and emotional state of HA patients,with reduce readmission rates of patients,which is worthy of clinical application.