强化门诊管理对慢性心力衰竭患者临床预后的影响

Influence of Strengthened Outpatient Administration on Patients with Chronic Heart Failure

目的:探究强化门诊管理对慢性心力衰竭患者临床预后的优越性。方法:慢性心力衰竭患者共100例,分为强化门诊管理组(54例)和常规门诊管理组(46例),进行为期18个月的随访管理,并于6、12及18个月时测定血肌酐、血LDL、6 min步行距离、抑郁指数、焦虑指数、SF-36量表,统计病例随访结束时的心源性再入院人次及死亡例数。结果:两组病例抑郁指数在18个月差异有统计学意义(P<0.05),焦虑指数在12、18个月差异均有统计学意义(P<0.05)。SF-36量表测定中强化门诊管理组活力评分,于随访18个月时与常规门诊管理组比较,差异有统计学意义(P<0.05);情感职能评分,于随访6、12、18个月时与常规门诊管理组比较,差异均有统计学意义(P<0.05)。结论:强化门诊管理可以更大程度地减轻慢性心力衰竭患者焦虑及抑郁状态,改善其生存质量。

Objective:To evaluate the positive influence of strengthening outpatient administration on the clinical prognosis of patients with chronic heart failure.Method:A total of 100 patients with chronic heart failure were divided into two groups,strengthened outpatient administration group(n=54)and regular outpatient administration group(n=64).Two groups were performed follow-up management lasting 18 months.The serum creatinine(SCR),blood low density lipoprotein(blood LDL),the walking distance of 6 minutes were measured and the depression index,the anxiety index,the SF-36 scale were finished in the sixth,twelfth and the eighteenth month.The cases of death and cardiac re-admission events were counted in the end of the follow-up management.Result:The depression index of the two groups had statistical difference an 18 months(P<0.05).The anxiety index of two groups had significant statistical difference at 12 and 18 months(P<0.05).The score of Vitality in SF-36 scale had statistical difference between two groups at 18 months(P<0.05).The score of Role-Emotional had significant difference between two groups at 6,12 and18 months(P<0.05).Conclusion:Strengthened outpatient administration can relieve anxiety and depression,improve the living quality of patients with chronic heart failure.