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目的构建慢性心力衰竭患者从医院到社区的无缝隙护理管理模式,评价其应用效果。方法选取2014年10月~2015年10月于我院进行治疗的慢性心力衰竭患者140例作为研究对象,将其随机分为观察组和对照组,每组70例。对照组患者施行常规性护理,观察组患者施行从医院到社区无缝隙护理管理模式,对比分析两组患者干预前后1、3、6、12个月的服药依从性、生活质量以及焦虑抑郁情况。结果观察组患者干预后的服药依从性和生活质量评分高于对照组患者,差异有统计学意义(P<0.05);观察组患者干预后的焦虑抑郁情况与对照组相比均得到明显改善,差异有统计学意义(P<0.01)。结论对于慢性心力衰竭患者实施从医院到社区的无缝隙护理管理模式,可实现有效的管理,值得临床推广使用。
Objective To establish a seamless nursing management model for patients with chronic heart failure from hospital to community and evaluate their application effects. Methods A total of 140 patients with chronic heart failure who were treated in our hospital from October 2014 to October 2015 were selected as study subjects and randomly divided into observation group and control group with 70 cases in each group. Patients in the control group were given routine nursing care. Patients in the observation group were given seamless nursing management from hospital to community. The compliance, quality of life and anxiety and depression were compared between the two groups before, 1, 3, 6 and 12 months after intervention. Results The scores of medication compliance and quality of life after intervention in observation group were higher than those in control group (P <0.05). The anxiety and depression in observation group were significantly improved compared with control group, The difference was statistically significant (P <0.01). Conclusion The seamless nursing management mode from hospital to community in patients with chronic heart failure can be effectively managed and worthy of clinical promotion.