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一项针对心力衰竭患者的护理与随访计划的疗效:一项随机对照试验的研究方案。

The efficacy of a nursing care and follow-up program for patients with heart failure: Study protocol for a randomized controlled trial.

作者信息

Zhang Zhimin, Bai Jincheng, Huang Yongmei

机构信息

Department of Cardiovascular Medicine.

Department of Nursing, Changshan County People's Hospital, Zhejiang, China.

出版信息

Medicine (Baltimore). 2020 Dec 4;99(49):e23380. doi: 10.1097/MD.0000000000023380.

Abstract

BACKGROUND

Heart failure (HF) is one of the primary causes of the increasing public health costs, incidence rate and mortality of heart disease. As treatment options for the HF have evolved, people have a better understanding of overall burden of HF, resulting a more centralized method for the treatment of these patients with chronic diseases. At present, with the rapid progress of medical technology, the nursing mode must be updated accordingly. The objective of this trial is to investigate the effects of the program of nursing care and follow-up on life quality, self-care, and the rehospitalization of patients with HF.

METHOD

This is a randomized controlled study to be carried out from November 2020 to March 2021 and was granted through the Ethics Committee of Changshan County People's Hospital (CCPH002376). The patients meet the following criteria will be included: the age of the patients is 18 years and above, and the functional classification is NYHA II or NYHA III. The patients with the following criteria will be excluded: patients who have received the by-pass surgery in the last 6 months; cancer patients are given radiotherapy or chemotherapy; patients with severe renal failure requiring dialysis; patients with chronic obstructive pulmonary disease who need ventilation; and patients with hearing or visual impairment. In our experiment, patient information scale, the life quality scale (The Left Ventricular Dysfunction Scale) and Self-Care of HF Index are utilized for the assessment. All the analyses are implemented with SPSS for Windows Version 20.0.

RESULTS

Impact of experimental programs on outcomes will be illustrated in the Table.

CONCLUSION

We hypothesize that the nursing care conducted for the HF patients may improve the life quality and self-care.

TRIAL REGISTRATION NUMBER

researchregistry 6129.

摘要

背景

心力衰竭(HF)是心脏病导致公共卫生成本增加、发病率和死亡率上升的主要原因之一。随着心力衰竭治疗方案的不断发展,人们对心力衰竭的总体负担有了更深入的了解,从而形成了一种更集中的慢性病患者治疗方法。目前,随着医疗技术的快速进步,护理模式必须相应更新。本试验的目的是研究护理和随访方案对心力衰竭患者生活质量、自我护理及再住院情况的影响。

方法

这是一项将于2020年11月至2021年3月进行的随机对照研究,已获得常山县人民医院伦理委员会批准(CCPH002376)。符合以下标准的患者将被纳入:年龄在18岁及以上,功能分级为纽约心脏协会(NYHA)II级或III级。符合以下标准的患者将被排除:过去6个月内接受过搭桥手术的患者;接受放疗或化疗的癌症患者;需要透析的严重肾衰竭患者;需要通气的慢性阻塞性肺疾病患者;以及有听力或视力障碍的患者。在我们的实验中,使用患者信息量表、生活质量量表(左心室功能障碍量表)和心力衰竭自我护理指数进行评估。所有分析均使用SPSS for Windows 20.0版软件进行。

结果

实验方案对结果的影响将在表中说明。

结论

我们假设对心力衰竭患者进行的护理可能会提高生活质量和自我护理能力。

试验注册号

researchregistry 6129。

相似文献

本文引用的文献

1
Current Therapeutic Options for Heart Failure in Elderly Patients.老年心力衰竭的治疗选择。
Biomed Res Int. 2017;2017:1483873. doi: 10.1155/2017/1483873. Epub 2017 Nov 15.
3
Systematic review of economic burden of heart failure.心力衰竭经济负担的系统评价。
Heart Fail Rev. 2018 Jan;23(1):131-145. doi: 10.1007/s10741-017-9661-0.
4
Global Public Health Burden of Heart Failure.心力衰竭的全球公共卫生负担。
Card Fail Rev. 2017 Apr;3(1):7-11. doi: 10.15420/cfr.2016:25:2.
5
Diagnosis and Management of Heart Failure in Older Adults.老年人心力衰竭的诊断与管理
Heart Fail Clin. 2017 Jul;13(3):427-444. doi: 10.1016/j.hfc.2017.02.002.

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