Effect of Optimal Care + Volume Self-management on Quality of Life in Patients with Chronic Heart Failure

Mei CEN; Ming JIN

doi:10.12259/j.issn.2095-610X.S20211243

Volume 42 Issue 12

Dec. 2021

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Mei CEN, Ming JIN. Effect of Optimal Care + Volume Self-management on Quality of Life in Patients with Chronic Heart Failure[J]. Journal of Kunming Medical University, 2021, 42(12): 177-182. doi: 10.12259/j.issn.2095-610X.S20211243

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Mei CEN, Ming JIN. Effect of Optimal Care + Volume Self-management on Quality of Life in Patients with Chronic Heart Failure[J]. Journal of Kunming Medical University, 2021, 42(12): 177-182. doi: 10.12259/j.issn.2095-610X.S20211243

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Effect of Optimal Care + Volume Self-management on Quality of Life in Patients with Chronic Heart Failure

doi: 10.12259/j.issn.2095-610X.S20211243

Mei CEN,
Ming JIN^,

Dept. of General Medicine，Yan’an Hospital Affiliated to Kunming Medical University，Kunming Yunnan 650051，China

Received Date: 2021-09-13
Available Online: 2021-11-18
Publish Date: 2021-12-15

Abstract

Abstract

Objective To explore the effect of optimal care + volume self-management model on cardiac function and quality of life in patients with chronic heart failure. Method 72 patients with chronic heart failure were randomly divided into control group （n = 36） and observation group （n = 36）. The control group was given routine health education and telephone follow-up, and the intervention group received the model of optimal nursing + volume self-management. Before intervention, 3 months after intervention and 6 months after intervention, the stage behavior changes of patients in the 2 groups were evaluated, the cardiac function and quality of life of patients in the 2 groups were evaluated, and the readmission rate within 30 days after discharge was compared between the 2 groups. Results At 3 and 6 months after intervention, 44.4% and 63.9% of the intervention group were in the stage of behavior change, and the number of the intervention group in the stage of action maintenance was significantly higher than that of the control group, the difference was statistically significant （P < 0.05）. At 3 and 6 months after intervention, the 6MWT distance in the intervention group was higher than that in the control group, with statistical significance （P < 0.05）. 6 months after intervention, there was a significant difference in time and interaction between the two groups （F = 5.928, P < 0.05）. Compared with the control group, the 6MWT distance in the intervention group increased slowly with the extension of the intervention time. 6 months after intervention, the total score of quality of life, physical domain, emotional domain and other domains in the intervention group were higher than those in the control group, and the difference was statistically significant （P < 0.05）. The readmission rate within 30 days after discharge in the intervention group was significantly lower than that in the control group, with statistical significance （P < 0.05）. Conclusion The optimal care + capacity self-management model can effectively improve the cardiac function and quality of life of patients with chronic heart failure, reduce the readmission rate, reduce the pressure of heart failure on the world health care system and social and economic environment, and truly achieve the goal of effective long-term self-management outside the hospital.
- Chronic heart failure,
- Volume management,
- Information platform,
- Self-management,
- Extended nursing

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References(25)

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