Effect of multidisciplinary cooperative intervention on self-management and fluid retention in elderly patients with chronic heart failure
10.3760/cma.j.cn211501-20191213-03699
- VernacularTitle:多学科团队合作干预对老年慢性心力衰竭患者自我管理及液体潴留的影响
- Author:
Fang LI
1
;
Ping YANG
;
Weilian JIANG
;
Hangrong WANG
;
Quanzhong LI
;
Sufen LI
;
Xintao WANG
;
Zengzhen LIAO
;
Guishan YE
Author Information
1. 桂林医学院附属医院护理部 541001
- From:
Chinese Journal of Practical Nursing
2020;36(15):1127-1133
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical effect of multidisciplinary cooperative intervention in improving self-management and improving fluid retention in the elderly patients with chronic heart failure.Methods:Totally 130 cases of the elderly patients with chronic heart failure from January to December 2018 were enrolled and were divided into control group and observation group with 65 cases randomly. The control group received routine nursing instruction and telephone follow-up. The observation group was given multidisciplinary team guidance to patients self-management in addition to routine nursing instruction and telephone follow-up. After 3 months, the self-management and fluid retention of the two groups were compared.Results:After 3 months of intervention, the scores and total scores of the observation group in the four dimensions of drug management, diet management, psychological and social adaptation management, symptom management were 19.43±0.71,11.51±0.59,19.07±0.65,25.24±1.31, 72.65±7.16, the control group was 11.09±3.40, 6.05±1.71, 12.73±2.49, 15.72±4.18, 46.35±7.83. The scores and total scores of the observation group were better than those of the control group ( t value was 4.835-13.727, all P < 0.05).After intervention for 3 months, the proportion of severe edema, moderate edema and mild edema in the observation group was 4.61% (3/65), 13.85% (9/65), 81.54% (53/65), respectively, and the control group was 38.46% (25/65), 52.31% (34/65) and 9.23% (6/65) respectively. The degree of fluid retention in the observation group was better than that in the control group ( Z value was -2.373, all P < 0.05). Conclusion:Multidisciplinary cooperative intervention can improve self-management and improve fluid retention in elderly patients with chronic heart failure.
