基于体质量管理策略的护理干预对慢性心力衰竭患者行为能力及生活质量的影响

详细信息    查看全文 | 推荐本文 |

英文篇名：Effect of nursing intervention based on body mass management strategy on behavior ability and quality of life in patients with chronic heart failure 作者：王寅 ; 李彤 ; 王晓静 ; 齐保振 英文作者：Wang Yin;Li Tong;Wang Xiaojing;Qi Baozhen;Emergency Ward,Shanghai First People's Hospital;Department of Cardiology,Affiliated Zhongshan Hospital of Fudan University; 关键词：慢性心力衰竭 ; 体质量管理 ; 体质量管理行为能力 ; 生活质量 ; 护理干预 英文关键词：Chronic heart failure;;Body mass management;;Body mass management behavior;;Quality of life;;Nursing intervention 中文刊名：FSJX 英文刊名：Journal of Nurses Training 机构：上海市第一人民医院急诊病房;复旦大学附属中山医院心内科; 出版日期：2019-04-10 出版单位：护士进修杂志 年：2019 期：v.34 基金：国家自然科学基金资助项目(编号:81500248) 语种：中文; 页：FSJX201907001 页数：4 CN：07 ISSN：52-1063/R 分类号：5-8

摘要

目的探讨基于体质量管理策略的护理干预对慢性心力衰竭患者体质量管理行为能力及生活质量的影响。方法选择2015年7月-2016年12月我院收治的慢性心力衰竭患者132例为研究对象,采用随机数字表法分为观察组和对照组各66例。对照组患者给予包括饮食指导、运动干预、遵医用药、定期复查、并发症预防、定期随访等在内的常规出院指导,观察组患者联合应用基于体质量管理策略的护理干预。随访6个月,比较两组患者体质量管理行为能力、体质量监测依从性、生活质量等指标。结果观察组患者体质量监测、体质量管理相关知识、体质量管理信念、体质量管理行为评分均明显高于对照组(P<0.05);观察组患者体质量监测依从性为93.94%,明显高于对照组81.82%(P<0.05);身体领域、情绪领域、生活质量总分明显高于对照组(P<0.05)。结论基于体质量管理策略的护理干预有助于提高慢性心力衰竭患者体质量管理行为能力,增强其体质量监测依从性,改善生活质量。
        Objective To study the effect of nursing intervention based on body mass management strategy on weight management behavior ability and quality of life of patients with chronic heart failure. Methods 132 cases patients with chronic heart failure admitted from July 2015 to December 2016 were selected and divided into observation group and control group by random number table method, 66 cases in each group. The control group was given routine discharge guidance including dietary guidance, exercise intervention, medical compliance, regular review, prevention of complications and regular follow-up. The observation group was given nursing intervention based on weight management strategy. Following up for 6 months, the weight management behavior ability, weight monitoring compliance and quality of life were compared between the two groups. Results The scores of body weight monitoring, weight management related knowledge, weight management belief and weight management behavior in the observation group were significantly higher than that of the control group(P<0.05). The compliance rate of body weight monitoring was 93.94% higher than 81.82% in the control group(P<0.05). The total scores of body area, emotional field and quality of life were significantly higher than those in the control group(P<0.05). Conclusion Nursing intervention based on body mass management strategy is helpful to improve the behavior ability of weight management in patients with chronic heart failure, enhance the compliance of weight monitoring and improve the quality of life of patients.

引文

[1] 王子迎,米冬花,王水莲,等.老年慢性心力衰竭患者自我管理现状及其影响因素研究[J].中华护理杂志,2017,52(4):431-435.
    [2] 王富力,史俊,施静,等.以体重为指导的管理和干预对慢性心力衰竭患者心功能的影响[J].中华心血管病杂志,2017,45(10):874-879.
    [3] Lu M X,Zhang Y Y,Jiang J F,et al.Weight management belief is the leading influential factor of weight monitoring compliance in congestive heart failure patients[J].Acta Cardiol Sin,2016,32(6):708-715.
    [4] Wang X H,Qiu J B,Pang J,et al.Establishment of a weight management scale for patients with congestive heart failur[J].Acta Cardiological Sinica,2014,30(1):74-81.
    [5] 王喆.饮食体重管理方案对老年慢性心力衰竭患者的影响[J].护理实践与研究,2016,13(10):18-20.
    [6] 张作记.行为医学量表手册[M].北京:中华医学会电子音像出版社,2005:121-123.
    [7] 黄海霞,陶宝明,梁静,等.延续性护理对慢性心力衰竭患者家庭照顾者照顾负荷的影响[J].护理学杂志,2016,31(23):18-20.
    [8] 仇静波,汪小华,鞠阳,等.慢性心力衰竭患者体重监测频率对再入院率的影响[J].护士进修杂志,2013,28(1):5-7.
    [9] Eqqerth A,Modre-Osprian R,Hayn D,et al.Comparison of body weight trend algorithms for prediction of heart failure related events in home care setting[J].Stud Health Techol Inform,2017,236:219-226.
    [10] Katter-Leibovici O,Freimark D,K Freedman LS,et al.Disease management in the treatment of patients with chronic heart failure who have universal access to health care:A randomized controlled trial[J].BMC Med,2017,15(1):90.
    [11] American Heart Association.Heatr disease and stroke statistics:Update[J].Am Heart Assoc,2010,11(9):480-486.
    [12] 李建华,罗维,王志华,等.全科团队对社区慢性心力衰竭患者体重管理效果观察[J].中华全科医师杂志,2014,13(12):1028-1029.
    [13] 王丽丽,鞠阳,张艳云,等.慢性心力衰竭患者体重监测依从性的影响因素分析[J].上海护理,2017,17(5):32-34.
    [14] Steventon A,Chaudhry SI,Lin Z,et al.Assessing the reliability of self-reported weight for the management of heart failure:application of fraud detection methods to a randomised trial of telemonitoring[J].BMC Med Inform Decis Mak,2017,17(1):43.
    [15] 潘桂俊,王惠华,唐慧芸,等.以家庭为单位的团队化健康教育在社区慢性心力衰竭患者中的效果观察[J].心脑血管病防治,2016,16(4):310-312.
    [16] 王桂花.实施体重控制对慢性心力衰竭患者生活质量的影响[J].吉林医学,2017,38(1):191-192.
    [17] 叶鹭萍,杨献军,蔡婉琼.自我管理软件在慢性心力衰竭患者护理中的应用[J].护理实践与研究,2016,13(17):44-46.