Wang Pengjun, Zhou Yanwen, Wang Li, Liu Rong, Qian Fei, Lin Mei
Department of General Practice, Huanggang Central Hospital, Huanggang, Hubei Province, China.
Department of Urology Surgery, Huanggang Central Hospital, Huanggang, Hubei Province, China.
Medicine (Baltimore). 2025 Aug 29;104(35):e43972. doi: 10.1097/MD.0000000000043972.
This research aims to investigate the impact of continuity of care on individuals diagnosed with chronic heart failure (CHF), specifically examining its effects on their self-care capabilities, life quality, mental well-being, and physical condition. A total of 90 patients diagnosed with CHF and treated at our hospital between January and September 2023 were included in this retrospective controlled study. Propensity score matching was used to assign patients into 2 comparable groups: an intervention group and a control group (CG), each consisting of 45 individuals. The intervention group received a comprehensive continuity of care program in addition to standard nursing care, while the CG received standard care alone. The continuity of care model included components such as a collaborative multidisciplinary team, tailored patient education, emotional support, guidance on medication adherence, and consistent follow-up monitoring. The study assessed various outcomes, including patients' self-care performance, quality of life scores, psychological assessments via the Hamilton Depression and Anxiety Scales, physical health indicators, and the frequency of adverse cardiovascular events. Following the continuity of care intervention, patients in the intervention group demonstrated a significant improvement in their self-care scores, increasing from 73.39 ± 4.02 pre-intervention to 89.41 ± 5.38 post-intervention (P < .05). In terms of quality of life, post-intervention scores were significantly better than those in the CG, indicating a positive shift. Physical capacity, measured by average walking distance, rose from 337.76 ± 23.87 m to 462.53 ± 26.28 m in the intervention group (P < .05). Regarding complication rates, there were no cases of myocardial infarction or sudden cardiac death in the intervention group, with only one case of arrhythmia, reflecting a notably lower complication rate compared to the CG (P < .05). These results suggest that continuity of care may play a key role in reducing adverse outcomes. The implementation of a continuity of care model for patients with CHF significantly improves their ability to manage their condition, enhances their overall quality of life, and contributes to better clinical outcomes. These findings emphasize the necessity of incorporating continuous care strategies into the standard management of CHF, offering important guidance for nursing professionals.
本研究旨在调查连续性护理对诊断为慢性心力衰竭（CHF）的个体的影响，具体考察其对患者自我护理能力、生活质量、心理健康和身体状况的影响。本回顾性对照研究纳入了2023年1月至9月期间在我院诊断为CHF并接受治疗的90例患者。采用倾向得分匹配法将患者分为2个可比组：干预组和对照组（CG），每组45人。干预组除接受标准护理外，还接受了全面的连续性护理计划，而CG组仅接受标准护理。连续性护理模式包括协作多学科团队、个性化患者教育、情感支持、药物依从性指导和持续随访监测等组成部分。该研究评估了各种结果，包括患者的自我护理表现、生活质量评分、通过汉密尔顿抑郁和焦虑量表进行的心理评估、身体健康指标以及心血管不良事件的发生频率。在连续性护理干预后，干预组患者的自我护理评分显著提高，从干预前的73.39±4.02提高到干预后的89.41±5.38（P<.05）。在生活质量方面，干预后的评分显著优于CG组，表明有积极变化。干预组以平均步行距离衡量的身体能力从337.76±23.87米增加到462.53±26.28米（P<.05）。关于并发症发生率，干预组没有心肌梗死或心源性猝死病例，只有1例心律失常，与CG组相比，并发症发生率显著较低（P<.05）。这些结果表明，连续性护理可能在减少不良结局方面发挥关键作用。对CHF患者实施连续性护理模式可显著提高他们管理病情的能力，提高其整体生活质量，并有助于取得更好的临床结果。这些发现强调了将持续护理策略纳入CHF标准管理的必要性，为护理专业人员提供了重要指导。
