多学科干预对慢性心力衰竭患者自我管理能力的影响研究(1)
[摘要]目的 探讨多学科干预对慢性心力衰竭患者自我管理能力和效果的影响。方法 选取2013年1月～2015年12月我院收治的慢性心力衰竭患者80例，采用随机数字表法分为观察组和对照组，各40例，对照组患者采用传统护理方案，观察组患者则实施多学科干预，由临床药师参与组成多学科干预团队，自患者入院起保持干预指导直至出院后6周，分别在治疗前、出院前和出院后6周时采用《心力衰竭病人自我管理量表》和《明尼苏达心力衰竭病人生活质量调查表》对患者的自我管理能力及生活质量进行调查对比。结果 在治疗前、出院前两组患者的自我管理能力评分及生活质量评分比较，差异无统计学意义(P>0.05)，在出院后6周时观察组患者的自我管理能力评分及生活质量评分均显著高于对照组，差异有统计学意义(P<0.05)。结论 实施多学科干预能够有效提高慢性心力衰竭患者的自我管理能力，改善患者的生活质量，值得在临床上推广应用。
[关键词]慢性心力衰竭；自我管理能力；生活质量；多学科干预
[中图分类号] R541.6+1 [文献标识码] A [文章編号] 1674-4721(2016)12(a)-0173-03
Influence study of multidisciplinary intervention on self-management ability in patients with chronic heart failure
LI Cui-qiong1 HU Yan-fen1 CAI Li-juan2 XU Zhuo-fan1
1.Department of Cardiology，the Twelfth People′s Hospital of Guangzhou City，Guangzhou 510620，China；2.Department of Pharmacy， the Twelfth People′s Hospital of Guangzhou City，Guangzhou 510620，China
[Abstract]Objective To explore the influence of multidisciplinary intervention on self-management ability and efficacy in patients with chronic heart failure (CHF).Methods 80 patients with CHF in our hospital from January 2013 to December 2015 were selected and evenly divided into observation group and control group in random number table.In the control group，traditional nursing was used，while in the observation group，the multidisciplinary intervention was conducted by the clinical pharmacists as a team.The intervention was carried out since the admission of the patients，and lasted for 6 weeks after discharge.The scale of self-management and Minnesota Quality of Life (QOL) Questionnaire of CHF patients were investigated and compared，the patient′s self-management ability and QOL before treatment，before discharge and 6 weeks after discharge.Results There were no great differences in score of self-management ability and QOL scores in the two groups before treatment or before discharge (P>0.05).Six weeks after discharge，the scores of self-management ability and QOL scores in the observation group were both greatly higher than those of control group，with the differences statisticant(P<0.05).Conclusion Implementation of multidisciplinary intervention can effectively improve self-management ability in CHF patients as well as patient′s QOL，which is worthy of promotion and application in clinic.
[Key words]Chronic heart failure；Self-management ability；Quality of life；Multidisciplinary intervention
慢性心力衰竭是心血管内科的常见病，也是多种心血管疾病的终末阶段。慢性心力衰竭是一个慢性的过程，需要长期服药控制病情的进展，为了节省医疗开支，患者在医院经过治疗达到病情稳定后，往往会选择在家中进行疗养，因此患者的自我管理能力直接影响着病情控制效果和预后[1]。相关研究显示，自我管理认知程度高、自我管理能力高的患者可有效减少再住院次数，改善自身的生存质量[2]。然而传统的护理干预主要倾向于患者住院期间的指导和干预，且局限在护理措施上，对于患者院外的干预和自我管理能力的提升效果十分有限。多学科干预指的是由临床医师、药师、护士共同组成干预团队，从多方面入手分析患者的需求，并实施干预的新型管理方案，本文就多学科干预对慢性心力衰竭患者自我管理能力及效果的影响进行了研究分析，现报道如下。1 资料与方法 (李翠琼 胡艳芬 蔡丽娟 许卓帆)
[关键词]慢性心力衰竭；自我管理能力；生活质量；多学科干预
[中图分类号] R541.6+1 [文献标识码] A [文章編号] 1674-4721(2016)12(a)-0173-03
Influence study of multidisciplinary intervention on self-management ability in patients with chronic heart failure
LI Cui-qiong1 HU Yan-fen1 CAI Li-juan2 XU Zhuo-fan1
1.Department of Cardiology，the Twelfth People′s Hospital of Guangzhou City，Guangzhou 510620，China；2.Department of Pharmacy， the Twelfth People′s Hospital of Guangzhou City，Guangzhou 510620，China
[Abstract]Objective To explore the influence of multidisciplinary intervention on self-management ability and efficacy in patients with chronic heart failure (CHF).Methods 80 patients with CHF in our hospital from January 2013 to December 2015 were selected and evenly divided into observation group and control group in random number table.In the control group，traditional nursing was used，while in the observation group，the multidisciplinary intervention was conducted by the clinical pharmacists as a team.The intervention was carried out since the admission of the patients，and lasted for 6 weeks after discharge.The scale of self-management and Minnesota Quality of Life (QOL) Questionnaire of CHF patients were investigated and compared，the patient′s self-management ability and QOL before treatment，before discharge and 6 weeks after discharge.Results There were no great differences in score of self-management ability and QOL scores in the two groups before treatment or before discharge (P>0.05).Six weeks after discharge，the scores of self-management ability and QOL scores in the observation group were both greatly higher than those of control group，with the differences statisticant(P<0.05).Conclusion Implementation of multidisciplinary intervention can effectively improve self-management ability in CHF patients as well as patient′s QOL，which is worthy of promotion and application in clinic.
[Key words]Chronic heart failure；Self-management ability；Quality of life；Multidisciplinary intervention
慢性心力衰竭是心血管内科的常见病，也是多种心血管疾病的终末阶段。慢性心力衰竭是一个慢性的过程，需要长期服药控制病情的进展，为了节省医疗开支，患者在医院经过治疗达到病情稳定后，往往会选择在家中进行疗养，因此患者的自我管理能力直接影响着病情控制效果和预后[1]。相关研究显示，自我管理认知程度高、自我管理能力高的患者可有效减少再住院次数，改善自身的生存质量[2]。然而传统的护理干预主要倾向于患者住院期间的指导和干预，且局限在护理措施上，对于患者院外的干预和自我管理能力的提升效果十分有限。多学科干预指的是由临床医师、药师、护士共同组成干预团队，从多方面入手分析患者的需求，并实施干预的新型管理方案，本文就多学科干预对慢性心力衰竭患者自我管理能力及效果的影响进行了研究分析，现报道如下。1 资料与方法 (李翠琼 胡艳芬 蔡丽娟 许卓帆)