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中国科技核心期刊（中国科技论文统计源期刊）
中国科学引文数据库（CSCD）核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2021, Vol. 21 ›› Issue (3): 414-419.doi: 10.3969/j.issn.1672-1756.2021.03.018

• 信息管理 • 上一篇    下一篇

远程网络延续护理改善慢性心力衰竭患者心功能和生活质量的研究

李霞 杨蕊 陈飞飞   

  1. 首都医科大学附属北京潞河医院心血管内科，101100 北京市
  • 出版日期:2021-03-15 发布日期:2021-03-15
  • 作者简介:李霞，硕士，主管护师，护士长，E-mail:lixiadu@sina.cn
  • 基金资助:
    北京市通州区科技计划项目（KJ2019CX003）

The effects of remote online transitional care on cardiac function and quality of life of patients with heart failure

LI Xia, YANG Rui, CHEN Feifei   

  1. Department of Vasculocardiology, Beijing Luhe Hospital affiliated to Capital Medical University, Beijing,101100, China
  • Online:2021-03-15 Published:2021-03-15

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摘要： 目的：探讨远程网络延续护理对慢性心力衰竭患者心功能和生活质量的影响。方法：采用便利抽样法选取2019年1—8月北京市某三级综合医院收治的121例慢性心力衰竭患者作为研究对象，将1—4月入院的62例患者纳入实验组，将5—8月入院的59例患者纳入对照组。两组患者均接受常规抗心力衰竭药物治疗；对照组给予常规护理，实验组在对照组基础上实施基于远程网络的延续护理。随访3个月，比较两组患者的心功能分级改善率、6分钟步行试验（Six Minute Walk Test，6MWT）、B型钠尿肽（B-type Brain Natriuretic Peptide，BNP）、心脏超声、明尼苏达心功能不全生命质量量表(Minnesota Living with Heart Failure Questionnaire，MLHFQ)、延续护理满意度和参与度情况。结果：出院3个月时实验组患者BNP数值、MLHFQ评分均低于对照组(P<0.05)，6MWT距离比对照组远（P<0.05），心功能分级改善率、患者对延续护理的满意度及参与度均高于对照组(P<0.05)。两组患者心脏超声各项指标比较，差异无统计学意义（P>0.05）。实验组患者出院3个月时BNP数值、MLHFQ得分均比入院时低（P<0.05），6MWT距离比入院时远（P<0.05），心功能分级改善率、左心室射血分数比入院时明显提高（P<0.05）。结论：基于远程网络的延续护理能够改善慢性心力衰竭患者的心功能，提高患者的生活质量，患者对该方法的满意度、参与度较高。

关键词: 远程网络；延续护理；慢性心力衰竭；心功能；生活质量；满意度

Abstract: Objective: To explore the effects of remote online transitional care on cardiac function and quality of life of patients with chronic heart failure. Methods: A total of 121 patients with chronic heart failure in a tertiary hospital admitted from January to August 2019 were recruited. Sixty-two patients admitted from January to April were assigned to the the test group, and 59 patients admitted from May to August were in the control group. Patients in both groups received routine heart failure therapy. Usual care was provided to the patients in the control group while patients in the test group received remote online transitional care. Patients in both groups were followed up for 3 months. Outcomes compared in the two groups included New York Heart Association (NYHA) classification, Six Minute Walk Test (6MWT), B-type Brain Natriuretic Peptide (BNP), echocardiography, Minnesota Living with Heart Failure Questionnaire (MLHFQ), satisfaction and engagement of the transitional care. Results: Three months after discharge, the BNP and MLHFQ score in the test group were lower than those in the control group (P<0.05). 6MWT was longer than that in the control group. The improvement rate of NYHA classification, satisfaction and engagement of the transitional care were higher than those in the control group (P<0.05). There was no significant difference in echocardiography between the two groups (P>0.05). In the test group, the BNP and MLHFQ scores at 3 months after discharge were lower than those at admission (P<0.05), 6MWT was longer than that at admission (P<0.05). The improvement rate of NYHA classification and left ventricular ejection fraction were significantly higher than those at admission (P<0.05). Conclusion: Remote online transitional care can improve the cardiac function and the quality of life of patients with chronic heart failure. Patients have higher satisfaction and participation rate.

Key words: remote network; transitional care; heart failure; cardiac function; quality of life; satisfaction

中图分类号:  R47
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