家庭管控对慢性心力衰竭患者的影响

摘要

Objective To study impact of family controls in quality of life and self-management of patients with chronic heart failure.Methods From May 2010 to May 2013 in Hebei port group co., LTD. Port hospital, 100 patients between 60~75 years old with chronic heart failure (CHF), including 55 males and 45 females, were randomly divided into management group and control group. The management group received 6 months’ family control, while the control group received general follow-up only. Improvement of quality of life and self-management were compared by questionnaire investigation.Results There were no differences of proportion of gender, comorbidities, smoking, education, reimbursement, pleural effusion, lower extremity edema, left ventricular ejection fraction between two groups (P>0.05). After 6 months’ family control, score of Minnesota questionnaire in management group were lower than control group (P<0.05); The score of European heart failure self-management behavior scale in management group were lower than control group (P<0.05).Conclusion Family control is an effective mode of courtyard outside the treatment in patients with heart failure, which can significantly improve patients in the courtyard outside the self-management ability, improve heart failure symptoms.%目的：分析家庭管控对慢性心力衰竭患者生活质量以及自我管理的影响。方法选取2010年5月至2013年5月于河北港口集团有限公司港口医院心内科住院的慢性心力衰竭（CHF）患者100例，其中男性55例，女性45例，年龄60~75岁。随机分为管控组和对照组两组，各50例。对实验组进行6个月的家庭管控，对照组患者只进行一般随访。采用问卷调查，比较分析两组患者管控前后生活质量改善情况及自我管理控制情况。结果两组年龄、性别比、合并疾病、吸烟比、文化程度及报销方式等比较，差异无统计学意义（P均＞0.05）。结果表明，经6个月家庭管控后，患者明尼苏达生活质量问卷得分显著降低，同时与对照组比较，问卷得分也显著降低，差异有统计学意义（P均＜0.05）。经6个月家庭管控后，管控组欧洲心力衰竭自我管理行为量表得分明显低于对照组，两者之间的差异具有统计学意义（P＜0.05）。结论家庭管控是对心衰患者院外治疗的有效模式，可显著提高患者在院外的自我管理能力，使心力衰竭症状得到改善。