Effect of six sigma management on hemodynamics and quality of life in patients with acute heart fail-ure
10.3969/j.issn.1008-0074.2025.03.25
- VernacularTitle:六西格玛管理法对急性心力衰竭患者血流动力学及生活质量的影响
- Author:
Jie DING
1
;
Xin JIANG
1
Author Information
1. 淮安市第一人民医院急诊科,江苏淮安 332200
- Publication Type:Journal Article
- Keywords:
Heart failure;
Quality of life;
Nursing Care
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2025;34(3):419-424
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of six sigma management on hemodynamics and quality of life in patients with acute heart failure(AHF).Methods:This randomized controlled study enrolled 150 AHF patients admitted in Huai'an First People's Hospital between January 2021 and June 2023.They were divided into control group(n=75,conventional nursing care)and intervention group(n=75,six sigma relation nursing).Both groups were intervened for 6 months.Scores of General Quality of Life Inventory-74(GQOLI-74),Hamilton Depression Rating Scale(HAMD)and Hamilton Anxiety Rating Scale(HAMA),hemodynamic indexes and cardiac function,serum levels of N terminal pro brain natriuretic peptide(NT-proBNP),cardiac troponin I(cTnI)and creatine kinase isoenzyme MB(CK-MB),satisfaction and incidence of adverse events were compared between the two groups.Results:Compared with patients in the control group,those in the intervention group had significant higher score of GQOLI-74[(93.18±10.27)points vs.(71.67±10.31)points]and cardiac index(CI)[(2.63±0.18)L·min-1·m-2 vs.(2.17±0.11)L·min-1·m-2](P＜0.001 all);and significant lower HAMD score[(7.52±2.69)points vs.(13.55±2.44)points],HAMA score[(9.22±3.43)points vs.(16.14±4.04)points],Systemic Vascular Resist-ance Index(SVRI)[(1655.24±152.95)dyn·s-1·cm-5·m-2 vs.(1939.26±134.55)dyn·s-1·cm-5·m-2],Global End-Diastolic Volume Index(GEDI)[(909.62±65.22)ml/m2 vs.(952.54±76.43)ml/m2],levels of NT-proBNP[(7.51±1.33)pg/ml vs.(11.23±2.17)pg/ml],cTnI[(3.41±1.02)ng/ml vs.(6.62±1.42)ng/ml]and CK-MB[(9.54±2.01)ng/L vs.(14.53±1.99)ng/L](P＜0.001 all).Satisfaction rate of intervention group was significantly higher than that of control group(95.83％vs.83.10％,P=0.013).The incidence of ad-verse events in the intervention group was significantly lower than that of the control group(4.17％vs.14.08％,P=0.039).Conclusion:Nursing pattern of six sigma management is beneficial for the recovery of cardiac function and may relieve depression and anxiety,improve quality of life in AHF patients.
