摘要
目的 探讨基于微信平台的多学科协作延续护理模式在慢性心力衰竭患者中的运用效果。方法 选取2021年6月—2022年6月医院收治的慢性心力衰竭患者144例为研究对象,按照组间基线资料均衡可比的原则分为观察组与对照组,各72例。对照组采用常规的延续护理模式,观察组在对照组基础上采用基于微信平台的多学科协作的延续护理模式。比较两组患者的生活质量、左心室射血分数(LVEF)、6 min步行试验(6MWT)、 B型利尿钠肽(BNP)、左心室舒张末期内径(LVDd)等评定心脏功能情况的心功能指标、自理能力、自我护理行为、再入院率以及护理满意度。结果 干预后观察组患者的心功能指标优于对照组,差异具有统计学意义(P<0.05)。干预后观察组患者的生活质量评分(MLHFQ)、自理能力评分(ADL)以及自我护理行为评分(EHFSCB-9)均低于对照组,差异具有统计学意义(P<0.05)。观察组患者护理满意率高于对照组,差异具有统计学意义(P<0.05)。结论 在慢性心力衰竭患者中应用基于微信平台的多学科协作延续护理模式效果显著,不仅可以改善慢性心力衰竭患者的心功能,还可以提高慢性心力衰竭患者自我护理水平,增强自理能力,促进慢性心力衰竭患者生活质量的提高,进而提高心力衰竭患者对护理的满意度。
Objective To explore the application effiect of a multidisciplinary collaborative continuous care model based on WeChat platform in chronic heart failure patients.Methods To select 144 patients with chronic heart failure admitted to the hospital from June 2021 to June 2022 as the research subjects,they were divided into an observation group and a control group based on the principle of balanced and comparable baseline data between groups,with 72 patients in each group.The control group adopted a conventional continuing care model,while the observation group adopted a multidisciplinary collaborative continuing care model based on WeChat platform on the basis of the control group.Compare the cardiac function indicators,self-care ability,self-care behavior,readmission rate,and nursing satisfaction of two groups of patients,including quality of life,left ventricular ejection fractions(LVEF),6-minute walking test(6MWT),B-type natriuretic peptide(BNP),and left ventricular end diastolic dimension(LVDd),to assess their cardiac function.Results After intervention,the cardiac function indicator in the observation group was better than that in the control group,the difference was statistically significant(P<0.05).After intervention,the quality of life score(MLHFQ),self-care ability score(ADL)and self-care behavior score(EHFSCB-9)in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The nursing satisfaction rate in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion The application of a multidisciplinary collaborative continuous care model based on WeChat platform in patients with chronic heart failure had a significant effect.It can not only improve the heart function of patients with chronic heart failure,but also enhance their self-care level,enhance their self-care ability,promote the improvement of the quality of life of patients with chronic heart failure,and thereby increase their satisfaction with nursing.
作者
张大鹏
吴晓
马月华
李明楠
ZHANG Dapeng;WU Xiao;MA Yuehua;LI Mingnan(Xinxiang Central Hospital,Xinxiang,453000,China)
出处
《护理实践与研究》
2023年第20期3008-3013,共6页
Nursing Practice and Research
基金
河南省医学科技攻关计划项目(编号:LHGJ20210905)。
关键词
慢性心力衰竭
延续护理
多学科协作
微信平台
护理效果
Chronic heart failure
Continuous care
Multidisciplinary collaborative
WeChat platform
Nursing eff ect
