文章摘要

个案管理模式在慢性心力衰竭患者中的应用效果

作者: 1张 丽, 1国 晓琳, 1杨 慧娟, 1王 娟娟, 1崔 德君
1 同济大学附属上海市第十人民医院心内科,上海 200072
通讯: 崔 德君 Email: cdj_1978@163.com
DOI: 10.3978/j.issn.2095-6959.2020.02.027

摘要

目的:观察分析个案管理模式在慢性心力衰竭(chronic heart failure,CHF)患者中的临床应用效果。方法:选取同济大学附属上海市第十人民医院心内科住院患者为研究对象,其中2017年7月至10月的20例患者作为对照组,2017年11月至2018年2月的20例患者作为实验组,其中对照组接受常规护理进行管理,实验组应用个案管理模式管理,比较两组CHF患者管理结果的差异性。结果:干预前两组患者的焦虑自评量表(Self-rating Anxiety Scale,SAS)和抑郁自评量表(Self-rating Depression Scale,SDS)评分比较,差异无统计学意义(P>0.05)。干预后两组患者的SAS,SDS评分均有所降低,与干预前比较,差异有统计学意义(P<0.05);实验组患者干预后SAS,SDS评分低于对照组,差异有统计学意义(P<0.05);实验组患者生活质量评分高于对照组,差异有统计学意义(P<0.05);两组患者干预后住院时间和住院费用的比较,差异无统计学意义(P>0.05)。结论:个案管理模式能够有效改善CHF患者的生活质量和心理状态,建议临床推广使用。
关键词: 慢性心力衰竭;个案管理;生活质量;焦虑;抑郁

Application of case management model in patients with chronic heart failure

Authors: 1ZHANG Li, 1GUO Xiaolin, 1YANG Huijuan, 1WANG Juanjuan, 1CUI Dejun
1 Department of Cardiology, Tenth Hospital Affiliated to Tongji University, Shanghai 200072, China

CorrespondingAuthor:CUI Dejun Email: cdj_1978@163.com

Abstract

Objective: To observe and analyze the clinical application effect of case management model in patients with chronic heart failure. Methods: Altogether the inpatients with chronic heart failure who were treated in Department of Cardiology in Tenth Hospital Affiliated to Tongji University; 20 patients from July 2017 to October 2017 were selected as the control group and 20 patients from November 2017 to February 2018 were selected as the experimental group. The control group received the conventional management mode during the course of treatment; while the experimental group received the case management mode during the course of treatment. The difference between the management of patients with chronic heart failure of two groups were compared. Results: There was no significant difference in the scores of SAS and SDS between the two groups before intervention (P>0.05). After the intervention, the SAS and SDS scores of the two groups were decreased, and the difference was statistically significant (P<0.05) compared with the pre-intervention group. After the intervention, the SAS and SDS scores of the experimental group were lower than those of the control group, and the difference was statistically significant (P<0.05). The score of quality of life in the experimental group was higher than that in the control group (P<0.05). There was no significant difference in hospitalization time and hospitalization expenses (P>0.05). Conclusion: Case management model can effectively improve the quality of life of patients and psychological state of patients with heart failure, and it is recommended to be widely used in clinic.
Keywords: chronic heart failure; case management; quality of life; anxiety; depression