Application of group management in follow-up management of patients with chronic heart failure
10.3760/cma.j.cn115682-20200322-02061
- VernacularTitle:群组管理在慢性心力衰竭患者随访管理中的应用
- Author:
Jing YE
1
;
Wenhui DING
;
Xiaoning HAN
;
Jie WANG
;
Liying JIN
;
Yimei ZHENG
Author Information
1. 北京大学第一医院心血管内科，北京 100034
- Keywords:
Group management;
Chronic heart failure;
Follow-up;
Knowledge;
Self-care behaviors
- From:
Chinese Journal of Modern Nursing
2020;26(20):2764-2768
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of group management in follow-up management of patients with chronic heart failure.Methods:By the convenient sampling method, patients with chronic heart failure who were admitted to Department of Cardiology of Peking University First Hospital in 2018 and participated in heart failure follow-up clinic management after discharge were selected as research objects. The patients were divided into the intervention group and the control group by the random number table method. Finally, 63 patients were included in the intervention group and 59 patients were included in the control group. The control group was followed up by heart failure clinic and the intervention group was followed up by group management. Atlanta Heart Failure Knowledge Test-V2 (AHFKT-V2) , the Heart Failure European Self-care Behavior Scale (EHFScBS) , heart function grade of NYHA and Type B natriuretic peptide (BNP) were used to compare intervention effects.Results:Six months after the intervention, the total score of AHFKT-V2, scores of nutrition, behavior, symptom management, and medication dimensions of the intervention group were all higher than those of the control group, the total score of EHFScBS was lower than that of the control group, and the differences were statistically significant ( P<0.05) . Six months after the intervention, the heart function grade of NYHA and BNP of the intervention group were better than those of the control group, and the differences were statistically significant ( P<0.05) . Conclusions:The group management model can effectively improve heart failure related knowledge, self-care behaviors, heart function grade of NYHA and BNP of patients with heart failure follow-up.
