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目的探讨医院到社区无缝隙护理模式应用于慢性充血性心力衰竭患者治疗中的价值。方法选取深圳市宝安区石岩人民医院2015年1-11月收治的82例慢性充血性心力衰竭患者为研究对象,以随机数字表法分为观察组与对照组各41例,对照组实施常规护理,观察组接受医院到社区无缝隙护理模式,对两组患者干预前后自我护理行为及6 min步行试验结果进行观察。结果干预前,两组患者自我护理行为评分差异无统计学意义(P>0.05),干预后3、6、12个月时,观察组自我护理行为评分均较对照组高,差异有统计学意义(P<0.05);干预前,两组患者6 min步行试验结果差异无统计学意义(P>0.05),干预后3、6、12个月时,观察组6 min步行试验结果均优于对照组,两组差异有统计学意义(P<0.05)。结论医院到社区无缝隙护理模式应用于慢性充血性心力衰竭治疗中效果满意,可持续提高患者自我护理行为及心功能,值得临床推广。
Objective To explore the value of hospital-to-community seamless nursing model for the treatment of patients with chronic congestive heart failure. Methods A total of 82 patients with chronic congestive heart failure who were treated in Shiyan People’s Hospital of Bao’an District of Shenzhen City from January to November in 2015 were selected and divided into observation group (41 cases) and control group (41 cases) respectively. The control group Nursing and observation group received seamless nursing model from hospital to community. The self-care behaviors before and after intervention and the results of 6-minute walking test were observed. Results Before intervention, there was no significant difference in scores of self-care behavior between the two groups (P> 0.05). At 3, 6 and 12 months after intervention, self-care behavior scores of the observation group were higher than those of the control group, with significant difference (P <0.05). Before the intervention, there was no significant difference between the two groups in 6-minute walk test (P> 0.05). At 6, 6 and 12 months after the intervention, the walk test results of the observation group were better than the control Group, the difference between the two groups was statistically significant (P <0.05). Conclusion The hospital-to-community seamless nursing model has satisfactory results in the treatment of chronic congestive heart failure and can improve the self-care behavior and cardiac function of patients. It is worthy of clinical promotion.