Effects of NICE guideline based palliative care in end-stage heart failure patients
- VernacularTitle:基于NICE指南的姑息护理在心力衰竭终末期患者中的应用
- Author:
Zheng HUANG
1
;
Ruiqing DI
;
Jingshuang BAI
;
Ying WANG
Author Information
1. 郑州大学第一附属医院心血管病医院 450052
- Keywords:
Heart failure;
National Institute for Health and Care Excellence (NICE) Guideline;
Quality of health care
- From:
Chinese Journal of Modern Nursing
2019;25(13):1655-1658
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the effects of National Institute for Health and Care Excellence (NICE) Guideline based palliative care in end-stage heart failure patients. Methods? From October 2016 to May 2017, we selected end-stage heart failure patients from four wards of cardiovascular department at a ClassⅢ Grade A hospital in Zhengzhou as subjects by convenience sampling. Patients from the first to the third ward were in experimental group (n=143), and those from the fourth ward were in control group (n=135). Control group carried out routine palliative care. On the basis of that in control group, experimental group adopted individual palliative care according to the National Institute for Health and Care Excellence (NICE) guideline. Four months after intervention, we compared the intervention effects with the Chinese version of palliative care outcome scale (POS) and the medical outcomes study short form 12-item version 2 (SF-12v2). Results? Four months after intervention, the total score of POS of patients in experimental group was lower than that in control group with a statistical difference (P< 0.01). The total scores of physical and mental health of SF-12v2 of patients in experimental group were higher than those in control group with statistical differences (P< 0.01). Conclusions?NICE guideline based palliative care can reduce the anxiety of patients and their family members, and can improve quality of life of patients.