Zheng Ai-Di, Cai Li-Li, Xu Jing
Department of Cardiology, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, Zhejiang Province, China.
World J Psychiatry. 2023 Jul 19;13(7):444-452. doi: 10.5498/wjp.v13.i7.444.
With the intensification of social aging, the susceptibility of the elderly population to diseases has attracted increasing attention, especially chronic heart failure (CHF) that accounts for a large proportion of the elderly.
To evaluate the application value of health concept model-based detailed behavioral care in elderly patients with CHF.
This study recruited 116 elderly CHF patients admitted from October 2018 to October 2020 and grouped them according to the nursing care that they received. The elderly patients who underwent health concept model-based detailed behavioral care were included in a study group (SG; = 62), and those who underwent routine detailed behavioral nursing intervention were included as a control group (CG; = 54). Patients' negative emotions (NEs), quality of life (QoL), and nutritional status were assessed using the self-rating anxiety/ depression scale (SAS/SDS), the Minnesota Living with Heart Failure Ques-tionnaire (MLHFQ), and the Modified Quantitative Subjective Global Assessment (MQSGA) of nutrition, respectively. Differences in rehabilitation efficiency, NEs, cardiac function (CF) indexes, nutritional status, QoL, and nursing satisfaction were comparatively analyzed.
A higher response rate was recorded in the SG the CG after intervention ( < 0.05). After care, the left ventricular ejection fraction was higher while the left ventricular end-diastolic dimension and left ventricular end systolic diameter were lower in the SG compared with the CG ( < 0.05). The post-intervention SAS and SDS scores, as well as MQSGA and MLHFQ scores, were also lower in the SG ( < 0.05). The SG was also superior to the CG in the overall nursing satisfaction rate ( < 0.05).
Health concept model-based detailed behavioral care has high application value in the nursing care of elderly CHF patients, and it can not only effectively enhance rehabilitation efficiency, but also mitigate patients' NEs and improve their CF and QoL.
随着社会老龄化加剧，老年人群对疾病的易感性日益受到关注，尤其是在老年人中占很大比例的慢性心力衰竭（CHF）。
评估基于健康概念模型的详细行为护理在老年CHF患者中的应用价值。
本研究纳入了2018年10月至2020年10月收治的116例老年CHF患者，并根据他们接受的护理进行分组。接受基于健康概念模型的详细行为护理的老年患者被纳入研究组（SG；n = 62），接受常规详细行为护理干预的患者被纳入对照组（CG；n = 54）。分别使用自评焦虑/抑郁量表（SAS/SDS）、明尼苏达心力衰竭生活问卷（MLHFQ）和改良的定量主观全面评估（MQSGA）营养评估患者的负面情绪（NEs）、生活质量（QoL）和营养状况。比较分析康复效率、NEs、心功能（CF）指标、营养状况、QoL和护理满意度的差异。
干预后SG的反应率高于CG（P < 0.05）。护理后，与CG相比，SG的左心室射血分数更高，而左心室舒张末期内径和左心室收缩末期直径更低（P < 0.05）。干预后SG的SAS和SDS评分以及MQSGA和MLHFQ评分也更低（P < 0.05）。SG在总体护理满意度方面也优于CG（P < 0.05）。
基于健康概念模型的详细行为护理在老年CHF患者的护理中具有较高的应用价值，它不仅可以有效提高康复效率，还可以减轻患者的NEs，改善其CF和QoL。
