Department of Traditional Chinese Medicine, Xi'an Ninth Hospital, Xi'an, Shaan xi, China.
Xi'an Ninth Hospital Nursing Department, Xi'an, Shaan xi, China.
Medicine (Baltimore). 2024 Sep 13;103(37):e39293. doi: 10.1097/MD.0000000000039293.
The aim of this study was to evaluate the efficacy of implementing the CICARE communication model and hierarchical responsibility nursing coordination in managing chronic heart failure among elderly patients. From June 2021 to June 2023, 120 elderly patients diagnosed with chronic heart failure were admitted to our hospital. They were divided into 2 groups according to different treatment methods: the regular group and the observation group. Both groups of patients received nursing interventions for 3 months. Before and after the intervention, we assessed the levels of cardiac function indicators (left ventricular end-diastolic diameter, left ventricular ejection fraction, and B-type natriuretic peptide levels) and exercise tolerance (6-minute walk test) in both groups of patients. The time to clinical symptom relief, self-efficacy, and quality of life scores were compared between the 2 groups of patients. Before the intervention, there were no significant differences in cardiac function indicators between the 2 groups (P > .05). However, after the intervention, both groups exhibited improvements in left ventricular end-diastolic diameter and B-type natriuretic peptide levels, with the observation group demonstrating greater reductions compared to the control group. Furthermore, both groups showed increased left ventricular ejection fraction levels, with the observation group experiencing a significantly higher improvement. Although exercise tolerance did not differ significantly between the groups before the intervention, post-intervention analysis revealed a greater increase in 6-minute walk test distance in the observation group compared to the control group (P < .05). The time to relief of breathlessness and edema did not significantly differ between the groups (P > .05). Similarly, there were no significant differences in self-efficacy and quality of life scores between the groups before the intervention (P > .05); however, post-intervention analysis showed higher self-efficacy scores in the observation group. Application of the CICARE communication model and hierarchical responsibility nursing coordination in elderly patients with chronic heart failure can effectively improve the patients' cardiac function levels and significantly enhance their exercise tolerance, self-efficacy, and quality of life.
本研究旨在评估实施 CICARE 沟通模式和分层责任护理协调在管理老年慢性心力衰竭患者中的疗效。2021 年 6 月至 2023 年 6 月，我院收治 120 例老年慢性心力衰竭患者。根据不同的治疗方法，将患者分为常规组和观察组。两组患者均接受护理干预 3 个月。干预前后，评估两组患者的心功能指标（左心室舒张末期直径、左心室射血分数和 B 型钠尿肽水平）和运动耐量（6 分钟步行试验）。比较两组患者的临床症状缓解时间、自我效能感和生活质量评分。干预前，两组患者心功能指标比较差异无统计学意义（P>0.05）。干预后，两组左心室舒张末期直径和 B 型钠尿肽水平均有所改善，观察组较对照组下降更为明显。此外，两组左心室射血分数水平均有所升高，观察组升高更为显著。两组患者干预前运动耐量比较差异无统计学意义，干预后观察组 6 分钟步行试验距离增加更为显著（P<0.05）。两组患者呼吸困难和水肿缓解时间比较差异无统计学意义（P>0.05）。两组患者干预前自我效能感和生活质量评分比较差异无统计学意义（P>0.05）；干预后观察组自我效能感评分较高。在老年慢性心力衰竭患者中应用 CICARE 沟通模式和分层责任护理协调，可以有效改善患者的心功能水平，显著提高患者的运动耐量、自我效能感和生活质量。
