Impact of multifactor intensive nursing intervention on chronic heart failure patients with outside hospital treatment
10.3760/cma.j.issn.1672-7088.2013.34.007
- VernacularTitle:对慢性心力衰竭患者进行院外多因素强化护理干预的研究
- Author:
Tie LI
;
Lilan GUO
;
Hong PENG
;
Huaying WU
;
Jie DONG
- Publication Type:Journal Article
- Keywords:
Chronic heart failure;
Nursing intervention
- From:
Chinese Journal of Practical Nursing
2013;29(34):24-26
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the efficacy of multifactor intensive nursing intervention on chronic heart failure patients with outside hospital treatment,including self-management ability and related clinical indicators.Methods By application of prospective study,a total of 215 patients with chronic heart failure discharged from hospital were randomized into the usual care group (105 cases) and the intensive nursing intervention group (1 10 cases).Patients were followed up for 12 months,and 205 patients completed the follow-up.The usual care group only received conventional outpatient follow-up,the intensive intervention group patients received telephone counseling,more detailed clinical follow-up and regular health education.The intervention effect was compared between two groups.Results Compared with the usual care group,the passing rate of sodium/water limit and daily monitoring of weight was higher in the intensive intervention group.Left ventricular ejection fraction and six-minute walking test were better in the intensive intervention group,while the level of NT-pro-BNP was lower in the intensive intervention group.Compared with the usual care group,re-hospitalization rate and incidence of cardiovascular events were lower in the intensive intervention group.Conclusions Multifactor intensive nursing intervention is helpful on improving self-management ability,alleviate cardiac function,reduce re-hospitalization rate and incidence of cardiovascular events for chronic heart failure patients.
