心力衰竭患者医护联合门诊自我管理指导模式的构建与应用
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女,硕士,护师

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复旦大学复星护理科研基金项目(FNF202045)


Construction and implementation of self-management education model in physician-nurse collaborative heart failure outpatient clinic
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    目的 构建心力衰竭患者医护联合门诊自我管理指导模式,探讨其对心力衰竭患者自我护理行为的影响。方法 将263例心力衰竭医护联合门诊就诊的患者按照就诊时间分为对照组131例,干预组132例。对照组进行常规诊疗和健康教育,干预组在对照组的基础上采用心力衰竭患者医护联合门诊自我管理指导模式,主要采取门诊健康教育、线上健康教育讲座、榜样案例宣传的方式进行自我管理健康指导。干预前、干预3个月后,采用心力衰竭自我护理指数量表、心力衰竭知识问卷、堪萨斯城心肌病患者生活质量量表对两组患者进行评价。结果 干预3个月后,干预组自我护理行为、心力衰竭知识水平及生活质量显著优于对照组(均P<0.01)。结论 心力衰竭患者医护联合门诊自我管理指导模式可提高患者的自我护理行为、心力衰竭知识水平及生活质量,更好地为患者提供高质量的延续性护理。

    Abstract:

    Objective To construct a self-management education model for patients with heart failure in physician-nurse collaborative outpatient clinic and to explore its influence on self-care behavior of patients. Methods A total of 263 patients attending a heart failure outpatient clinic which was run by physicians and nurses working together were chronologically divided into a control group of 131 and an intervention group of 132.The control group received routine treatment and health education, while the intervention group were subjected to self-management education program including outpatient education, online lectures, and education with shining example. Before and 3 months after the intervention, the Self-Care of Heart Failure Index, Atlanta Heart Failure Know-ledge Test-V2,and Kansas City Cardiomyopathy Questionnaire were used to evaluate the effects. Results After 3 months of intervention, the intervention group had better self-care behavior,heart failure knowledge and quality of life compared with the control group (P<0.01 for all). Conclusion The self-management education model for patients with heart failure in the physician-nurse collaborative outpatient clinic can improve self-care behavior, disease-related knowledge and quality of life of patients, which ensures continuous high-quality care.

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吴燕华,张贤,林颖,徐晓华,董忻悦,陆飞歆,张倩,龚晨.心力衰竭患者医护联合门诊自我管理指导模式的构建与应用[J].护理学杂志,2021,36(22):22-25

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  • 收稿日期:2021-06-10
  • 最后修改日期:2021-07-26
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  • 在线发布日期: 2022-09-16