基于治疗依从性和心功能个案管理的扩展干预模式对慢性心力衰竭患者的影响的单中心回顾性研究评估

Songna Ren, Xuemian Yang, Yuan Niu, Xiaohui Hao, Suosuo Wang, Songjie Ren, Yiqing Liu
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引用次数: 0

摘要

目的探讨基于个案管理的扩展干预模式对慢性心力衰竭患者治疗依从性和心脏功能的影响。方法:回顾性分析邢台市第三医院 203 例慢性心力衰竭患者的临床资料:本研究回顾性分析了邢台市第三医院2019年1月至2022年1月203例慢性心力衰竭患者的临床资料。根据不同的干预方案,将患者分为研究组(SG,n = 102)和参照组(RG,n = 101)。研究组接受基于病例管理的扩展干预模式,参照组采用常规干预模式。对两组患者的治疗依从性、心脏功能、日常生活活动量表(ADL)评分和再入院率进行比较。结果显示干预后,SG 的治疗依从性更高(P < 0.05),心率更低,左室射血分数、二尖瓣口处二尖瓣快速充盈峰值速度与二尖瓣口处心房充盈峰值速度之比以及六分钟步行距离更高(P < 0.001),ADL 评分和再入院率明显低于 RG(P < 0.05)。结论基于病例管理的延伸干预模式对慢性心力衰竭患者的治疗依从性有积极影响,可持续改善患者心功能,降低再入院率,提高日常生活能力,全面提高临床疗效,使患者长期受益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Single-Centre, Retrospective Research Evaluation of the Effect of Extended Intervention Model Based on Case Management of Treatment Compliance and Cardiac Function on Patients with Chronic Heart Failure
Objective: To explore the effect of case management-based extended intervention model on treatment compliance and cardiac function in patients with chronic heart failure. Methods: This study retrospectively analysed the clinical data of 203 patients with chronic heart failure at Xingtai Third Hospital from January 2019 to January 2022. In accordance with different intervention programs, the patients were divided into a study group (SG, n = 102) and a reference group (RG, n = 101). The SG received the extended intervention model based on case management, and the RG adopted the conventional intervention model. Comparison was conducted on the treatment compliance, cardiac function, activity of daily living scale (ADL) scores and readmission rates in both groups. Results: After intervention, the SG showed higher treatment compliance (p < 0.05), lower heart rate, higher left ventricular ejection fraction, ratio of transmitral peak rapid filling velocity to transmitral peak atrial filling velocity at mitral orifice and six-minute walk distance (p < 0.001) and significantly lower ADL score and readmission rates than the RG (p < 0.05). Conclusion: The extended intervention model based on case management positively influences the treatment compliance of patients with chronic heart failure and continuously improves patients' cardiac function, reduces the readmission rate, enhances daily living ability, comprehensively increases clinical efficacy and benefits patients for a long period.
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