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冠心病医护一体化慢病管理模式的构建与实践 预览

Construction and Practice of Integrated Medical and Nurse in Chronic Disease Management Model for Coronary Heart Disease
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摘要 目的:探讨冠心病医护一体化慢病管理模式的构建与实践效果。方法:将2017年10月~2018年3月200例行冠脉造影确诊的冠心病患者随机分为常规管理组和医护一体化组各100例。常规管理组采用常规管理模式,医护一体化组在常规护理的基础上构建并实施冠心病医护一体化慢病管理模式。比较两组病死率、再住院发生率、医疗费用,心功能分级、心功能相关参数、血浆氨基末端B型钠利尿肽前体(NT-proBNP)水平,生活质量[采用健康调查简表(SF-36)]评分,运动能力[采用Fugl-Meyer评测法(FMA)]评分,治疗依从性及患者满意度情况。结果:医护一体化组病死率、再住院发生率、医疗费用均低于常规管理组(P<0.05),心功能指标均优于常规管理组(P<0.01,P<0.05),SF-36、FMA评分均高于常规管理组(P<0.01),治疗依从性及患者满意度均高于常规管理组(P<0.01,P<0.05)。结论:给予冠心病患者医护一体化慢病管理模式,可有效降低病死率、再住院发生率及医疗费用,改善患者心功能,提高患者生活质量、运动能力、治疗依从性及患者满意度,值得推广应用。 Objective:To explore the construction and practical effect of integrated medical and nurse in chronic disease management model for coronary heart disease.Methods:A total of 200 patients with coronary artery disease diagnosed by coronary angiography from October 2017 to March 2018 were randomly divided into the routine management group and the integrated medical and nurse group with 100 cases each.The routine management group received the routine management model,and the integrated medical and nurse group constructed and implemented the integrated medical and nurse in chronic disease management model of coronary heart disease on the basis of routine nursing.The fatality rate and incidence of rehospitalization,medical expense,heart function grading,cardiac function related parameters,plasma sodium amino terminal B diuresis peptide precursor(NT-pro BNP)level and quality of life [by health survey profiles(SF-36)] score,exercise capacity [by Fugl-Meyer evaluation method(FMA)] score,treatment adherence and patient satisfaction of the two groups were compared.Results:The fatality rate in integrated medical and nurse group case,incidence of rehospitalization,medical expenses were lower than that of conventional management group( P < 0.05 ),the cardiac function indexes is better than the conventional management group( P<0.01,P <0.05),SF-36 and the score of FMA were higher than routine management group( P <0.01),treatment adherence and patient satisfaction were higher than the conventional management group( P<0.01,P <0.05).Conclusion:The integrated medical and nurse management model of chronic disease for patients with coronary heart disease can effectively reduce the mortality rate,rehospitalization rate and medical costs,improve patients′ cardiac function,improve patients′ quality of life,exercise ability,treatment compliance and satisfaction,which is worthy of promotion and application.
作者 李颐 钟雯 王任红 涂惠 吴延庆 Li Yi;Zhong Wen;Wang Renhong(The Second Affiliated Hospital of Nanchang University,Nanchang Jiangxi 330006,China)
出处 《齐鲁护理杂志》 2019年第9期10-12,共3页 Journal of Qilu Nursing
基金 江西省卫生计生委科技计划项目(编号:20185275)。
关键词 冠心病 医护一体化 慢病管理模式 护理 Coronary heart disease Integrated medical and nurse Chronic disease management model Nursing
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