认知护理干预对老年慢性心力衰竭患者生活质量和再住院率的影响-现代医学

认知护理干预对老年慢性心力衰竭患者生活质量和再住院率的影响

作者：王一

单位：首都医科大学附属北京友谊医院医疗保健中心, 北京 100050

分类号：R473.5

出版年·卷·期（页码）：2017·36·第七期（1053-1056）

摘要：

目的：探讨认知护理对老年慢性心衰患者生活质量和再住院率的影响。方法：接受标准药物治疗的老年慢性心衰患者随机分为：（1）试验组：常规护理+认知干预；（2）对照组：常规护理。完成疾病认知调查问卷，评价生活质量，比较12个月时再住院率。结果：（1）试验组对疾病的认知优于对照组。（2）试验组生活质量评分高于对照组，再住院率低于对照组。结论：认知护理改善患者对疾病的错误认知，提高生活质量，降低再住院率，改善心衰预后。

Objective: To explore the effects of the awareness of illness on the quality of life and re-hospitalization rate of elderly patients with chronic heart failure (CHF). Methods: Elderly patients with CHF receiving standard medical therapy were randomized into 2 groups:(1) experimental group, routine care plus perception intervention (n=87). (2)control group, routine care (n=82). 12 month pre-intervention and post-intervention, questionnaire for illness awareness was finished, and Minnesota Living with Heart Failure Questionnaire (MLHFQ) was used to evaluate the quality of life. Re-hospitalization rate was also investigated 12 months post-intervention. Results: (1) The patients in experimental group displayed improved illness arareness compared with that of control group (P<0.05). (2) MLHFQ quality of life score was higher and readmission rate was reduced in the experimental group than those in the control group (53.9±14.7 vs 47.2±10.1, 19.54% vs 37.80%, P<0.05). Conclusion: Care for illness awareness can improve patients' awareness and the quality of life in elderly patients with chronic heart failure, reduce readmission rate, thus improving the prognosis of heart failure.

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