Meleis转变理论联合出院计划联动模式在慢性心力衰竭患者护理中的应用效果分析

Application of Meleis Transformation Theory and Discharge Plan Linkage Model in the Nursing of Patients with Chronic Heart Failure

目的探讨慢性心力衰竭(chronic heart failure,CHF)患者采用Meleis转变理论联合出院计划联动模式护理的效果。方法方便选取2023年6—12月滨州市中心医院收治的86例CHF患者为研究对象,依据不同护理方法分成对照组(n=43)和干预组(n=43),对照组给予常规护理干预,干预组给予Meleis转变理论联合出院计划联动模式干预,比较两组患者自我护理能力[欧洲心衰自我护理行为评价量表(European Heart Failure Self-care Behavior Scale,EHFSCB-9)]、生活质量[明尼苏达心衰生活质量评定量表(Minnesotaliving with Heart Failure Questionnaire,MLHFQ)]、遵医依从性、护理满意度。结果护理后两组患者EHFSCB-9评分均下降,且干预组低于对照组,差异有统计学意义(P均<0.05)。护理后两组患者MLHFQ评分均下降,且干预组低于对照组,差异有统计学意义(P均<0.05)。干预组遵医依从性为95.35%(41/43)高于对照组的79.07%(34/43),差异有统计学意义(χ^(2)=5.108,P<0.05)。干预组护理满意度为97.67%(42/43)高于对照组的81.40%(35/43),差异有统计学意义(χ^(2)=4.468,P<0.05)。结论Meleis转变理论联合出院计划联动模式应用于CHF患者护理中,能够改善患者自我护理能力及生活质量,提高遵医依从性及护理满意度。

Objective To investigate the effect of Meleis transformation theory combined with discharge plan linkage model in patients with Chronic Heart Failure(CHF).Methods A total of 86 CHF patients admitted to Binzhou Central Hospital from June to December 2023 were conveniently selected as the study objects,and divided into control group(n=43)and intervention group(n=43)according to different nursing methods.The control group was given routine nursing intervention,and the intervention group was given Meleis transformation theory combined discharge planning linkage intervention mode.The Self-care ability[European Heart Failure Self-care Behavior Scale,(EHFSCB-9)],quality of life[Minnesota Taliving with Heart Failure Questionnaire(MLHFQ)],compliance,nursing satisfaction were compared between the two groups.Results After nursing,EHFSCB-9 scores of both groups decreased,and the intervention group was lower than the control group,the difference was statistically significant(all P<0.05).After nursing,the MLHFQ score of both groups decreased,and the intervention group was lower than the control group,the differences were statistically significant(all P<0.05).The compliance of intervention group was 95.35%(41/43)higher than that of control group 79.07%(34/43),and the difference was statistically significant(χ^(2)=5.108,P<0.05).The nursing satisfaction of the intervention group was 97.67%(42/43)higher than that of the control group 81.40%(35/43),and the difference was statistically significant(χ^(2)=4.468,P<0.05).Conclusion The application of Meleis transformation theory and discharge plan linkage model in the nursing of CHF patients can improve patients'self-care ability and quality of life,and improve medical compliance and nursing satisfaction.