摘要
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.
作者
苏惠萍
李静
李林林
孟敏
武玉芬
曹俊强
SU Huiping;LI Jing;LI Linlin;MENG Min;WU Yufen;CAO Junqiang(Cardiovascular Department Second Ward,The Binzhou Central Hospital,Binzhou 251700,Shandong,China)
出处
《中外医疗》
2024年第21期164-168,共5页
China & Foreign Medical Treatment