实用老年医学

实用老年医学 ›› 2023, Vol. 37 ›› Issue (9): 960-963.doi: 10.3969/j.issn.1003-9198.2023.09.023

• 护理园地 • 上一篇    下一篇

个案管理模式在老年慢性心力衰竭病人中的应用与研究

王敬松, 林松, 万明   

  1. 210006 江苏省南京市,南京医科大学附属南京医院(南京市第一医院)心血管内科(王敬松,林松);健康管理中心(万明)
  • 收稿日期:2022-09-20 出版日期:2023-09-20 发布日期:2023-09-21
  • 通讯作者: 万明,Email:540864309@qq.com

Study on application of case management model in elderly patients with chronic heart failure

WANG Jing-song, LIN Song, WAN Ming   

  1. Department of Cardiology(WANG Jing-song, LIN Song); Health Management Center (WAN Ming),Nanjing First Hospital,Nanjing Medical University,Nanjing 210006, China
  • Received:2022-09-20 Online:2023-09-20 Published:2023-09-21
  • Contact: WAN Ming,Email:540864309@qq.com

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摘要： 目的 探究个案管理模式在老年慢性心力衰竭(CHF)病人中的应用。 方法 选取2020年1～6月老年CHF病人89例,入院后均给予相应常规治疗。将所有研究对象随机分为对照组(n=44)和管理组(n=45),对照组接受常规护理,管理组接受个案管理模式护理。测定2组病人的LVEF、6 min步行距离(6MWD)水平,评估病人的生命质量(MLHFQ)、NYHA分级以及自我效能,记录再入院复诊率,并进行组间比较。 结果 干预前2组MLHFQ评分、LVEF、6MWD和心功能分级评分比较,差异无统计学意义(P>0.05)。干预6个月后,管理组的LVEF水平、6MWD、MLHFQ评分和病人自我效能评分均高于对照组,再入院复诊率显著低于对照组,差异均有统计学意义(P<0.05)。 结论 基于生命质量构建老年CHF病人个案管理模式,可有效提高病人的心脏功能、降低再入院复诊率,为病人减少社会和经济压力,提升其自我效能,具有较高的应用价值。

关键词: 个案管理模式, 慢性心力衰竭, 老年人, 护理

Abstract: Objective To investigate the application of case management model in the elderly patients with chronic heart failure (CHF). Methods Eighty-nine elderly patients with CHF from January to June 2020 were enrolled in this study, who all received routine treatment. They were divided into two groups according to random number table, control group (n=44) receiving routine nursing care and management group (n=45) receiving case management model. The levels of LVEF and six-minute walking distance (6MWD)were detected, and quality of life (MLHFQ), NYHA classification and self-efficacy were assessed, and the readmission rate was recorded in all the patients and were compared between the two groups. Results There were no significant differences in cardiac function and MLHFQ scores between the two groups before the intervention (P>0.05). After the intervention, the levels of LVEF, 6MWD, MLHFQ scores and self-efficacy were significantly higher, and the readmission rate was significantly lower in the management group than those in the control group(P<0.05). Conclusions Case management model based on quality of life can effectively improve the cardiac function and self-efficacy, and reduce the readmission rate in the elderly patients with CHF, which could reduce the social and economic pressure of the patients, and shows high application value.

Key words: case management, chronic heart failure, aged, nursing

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