目的 探讨家庭自我管理监测表在慢性心力衰竭患者家庭康复中的应用效果.方法 将150例慢性心力衰竭患者按随机数字表分为观察组75例和对照组75例,两组患者在院期间均接受早期心脏康复,对照组出院前进行常规健康教育,出院后通过电话、微信随访;观察组在对照组基础上,利用家庭自我管理监测表对患者的家庭康复进行干预.干预半年后,比较两组患者的6 min步行距离、家庭康复依从性与自我护理能力.结果 出院时两组患者的自我护理能力比较,差异无统计学意义(P>0.05);出院后半年,观察组患者的自我护理能力与家庭康复依从性高于对照组,6 min步行距离长于对照组,均P<0.05,差异具有统计学意义.结论 家庭自我管理监测表的使用有利于促进慢性心力衰竭居家患者的心脏康复.%Objective To study the application effect of monitoring table on family self-management for family rehabili-tation of patients with chronic heart failure. Method Divide 150 patients with chronic heart failure into observation group (n=50) and control group (n=50) by random number table. Patients in both two groups receive early cardiac rehabilitation in hospital. Patients in control group receive routine health education before discharge and follow-up interview by phone and Wechat. Patients in observation group receive intervention on family rehabilitation by monitoring table on family self-man-agement based on routine education and interview. Compare 6-min walking distance, family rehabilitation compliance and self-care ability of patients in two groups after half a year's intervention. Result There is no significant difference on self-care ability between two groups at discharge (P>0.05). Patients in observation group have better self-care ability and family rehabilitation compliance and longer 6-min walking distance than patients in control group after half a year's interven-tion(P<0.05). The difference is significant. Conclusion Application of monitoring table on family self-management can be helpful for cardiac rehabilitation of patients with chronic heart failure.
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