Construction and application of a geriatric-friendly care plan for elderly patients with chronic heart failure
10.3761/j.issn.0254-1769.2024.24.001
- VernacularTitle:老年慢性心力衰竭患者医疗照护方案的构建及应用研究
- Author:
Haixiang ZHU
1
;
Xiaoxue HAN
;
Yan FENG
;
Yan LI
;
Louqing QIAN
;
Yiyu ZHUANG
Author Information
1. 310019 杭州市 浙江大学医学院附属邵逸夫医院心内科护理
- Publication Type:Journal Article
- Keywords:
Heart Failure;
Elderly Care;
Geriatric Nursing;
4Ms Framework
- From:
Chinese Journal of Nursing
2024;59(24):2949-2956
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop a geriatric-friendly care plan for elderly patients with chronic heart failure based on the 4Ms theoretical model and to validate its clinical effectiveness.Methods Based on literature review and patient interviews,a 4Ms geriatric-friendly care plan for elderly patients with heart failure was developed.The convenience sampling method was used to select A total of 160 patients admitted to a tertiary hospital in Zhejiang Province from August 2022 to June 2023 were selected as the study subjects.Among them,80 patients from January to June 2023 were assigned to an experimental group,and 80 patients from August to December 2022 were assigned to a control group.The experimental group received the 4Ms geriatric-friendly care plan developed in this study,while the control group received routine care.The differences in elderly-related complications during hospitalization,length of hospital stay,total hospitalization costs,satisfaction,and post-discharge outcomes(including readmission rates,improper medication and exercise capacity)were compared between the 2 groups.Results A total of 3 cases were lost,resulting in 78 cases in the experimental group and 79 cases in the control group.The experimental group had higher hospital satisfaction,lower hospitalization days,and lower total hospitalization costs compared to the control group(all P＜0.01).Within 3 months post-discharge,the experimental group had lower readmission and inappropriate medication score,with better exercise capacity compared to the control group(all P＜0.05).Conclusion The 4Ms geriatric-friendly care plan developed in this study demonstrates scientific and practical value.It effectively improves patient satisfaction,medication compliance,and exercise capacity,while reducing hospitalization days and readmission rates.This plan has significant references.
