Effect of hospital-family chain rehabilitation management mode on self-management and quality of life in elderly patients with coronary heart disease
10.3969/j.issn.1008-0074.2025.01.27
- VernacularTitle:医院—家庭链式康复管理模式对老年冠心病患者自我管理及生活质量的影响
- Author:
Jing WANG
1
;
Chun-xia WANG
1
;
Xing-fang CHEN
1
;
Hui-xian TIAN
1
Author Information
1. 海安市中医院老年科,江苏南通 226600
- Publication Type:Journal Article
- Keywords:
Coronary disease;
Aged;
Nursing care;
Quality of life
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2025;34(1):129-133
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate effect of hospital-family chain rehabilitation management mode on self-man-agement and quality of life in elderly patients with coronary heart disease(CHD).Methods:This randomized con-trolled study enrolled 220 elderly CHD patients admitted in Hai'an Hospital of Traditional Chinese Medicine between December 2020 and August 2022.They were divided into control group(n=110,routine nursing)and intervention group(n=110,hospital-family chain rehabilitation management mode nursing).After 6-month intervention,scores of Coronary Self-Management Scale(CSMS),China Questionnaire of Quality of life in patients with Cardio-vascular diseases(CQQC)and Perceived Social Support Scale(PSSS)were compared between two groups as well as incidence of adverse cardiovascular events.Pearson method was employed to analyze the association among total scores of CSMS,CQQC and PSSS.Results:After 6-month nursing,compared with patients in control group,those in intervention group had significant higher CSMS total score[(116.03±5.41)points vs.(89.97±4.21)points],CQQC total score[(107.30±6.99)points vs.(80.86±6.38)points],PSSS total score[(69.05±7.42)points vs.(57.05±5.19)points]and each dimensional score(P＜0.001 all).Pearson correlation analysis indica-ted that total scores of CSMS,CQQC and PSSS were positively correlated with each other(r=0.437～0.562,P＜0.001 all).Incidence of adverse cardiovascular events in intervention group was significantly lower comparing to that of control group(2.73％vs.13.64％,P=0.003).Conclusion:Hospital-family chain rehabilitation manage-ment mode could improve the self-management ability and quality of life,increase the patient's social support,and reduce incidence of adverse cardiovascular events in elderly patients with coronary heart disease.
