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教育项目对心力衰竭患者生活质量的影响:一项随机临床试验。

Effect of educational program on quality of life of patients with heart failure: a randomized clinical trial.

作者信息

Lakdizaji Sima, Hassankhni Hadi, Mohajjel Agdam Alireza, Khajegodary Mohammad, Salehi Rezvanieh

机构信息

Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.

Department of Cardiology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

J Caring Sci. 2013 Feb 26;2(1):11-8. doi: 10.5681/jcs.2013.002. eCollection 2013 Mar.

Abstract

INTRODUCTION

Heart failure is one of the most common cardiovascular diseases which decrease the quality of life. Most of the factors influencing the quality of life can be modified with educational interventions. Therefore, this study examined the impact of a continuous training program on quality of life of patients with heart failure.

METHODS

This randomized clinical trial study was conducted during May to August 2011. Forty four participants with heart failure referred to Shahid Madani's polyclinics of Tabriz were selected through convenient sampling method and were randomly allocated to two groups. The intervention group (n = 22) received ongoing training including one-to-one teaching, counseling sessions and phone calls over 3 months. The control group (n = 22) received routine care program. Data on quality of life was collected using the Minnesota Living with Heart Failure Questionnaire at baseline as well as three months later.

RESULTS

The statistical tests showed significant differences in the physical, emotional dimensions and total quality of life in intervention group. But in control group, no significant differences were obtained. There was not any significant association in demographic characteristics and quality of life.

CONCLUSION

Ongoing training programs can be effective in improving quality of life of patients with heart failure. Hence applying ongoing educational program as a non-pharmacological intervention can help to improve the quality of life of these patients.

摘要

引言

心力衰竭是最常见的心血管疾病之一,会降低生活质量。大多数影响生活质量的因素可通过教育干预加以改善。因此,本研究考察了一项持续培训计划对心力衰竭患者生活质量的影响。

方法

本随机临床试验研究于2011年5月至8月进行。通过便利抽样法从大不里士沙希德·马达尼综合诊所转诊的44名心力衰竭患者中选取研究对象,并随机分为两组。干预组(n = 22)接受为期3个月的持续培训,包括一对一教学、咨询课程和电话随访。对照组(n = 22)接受常规护理计划。在基线以及3个月后,使用明尼苏达心力衰竭生活问卷收集生活质量数据。

结果

统计检验显示,干预组在身体、情感维度及总体生活质量方面存在显著差异。但对照组未获得显著差异。人口统计学特征与生活质量之间不存在显著关联。

结论

持续培训计划可有效改善心力衰竭患者的生活质量。因此,将持续教育计划作为一种非药物干预措施有助于提高这些患者的生活质量。

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