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首页> 美国卫生研究院文献>Brazilian Journal of Medical and Biological Research >Collaborative care model improves self-care ability quality of life and cardiac function of patients with chronic heart failure
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Collaborative care model improves self-care ability quality of life and cardiac function of patients with chronic heart failure

机译：协作式护理模型可改善慢性心力衰竭患者的自我护理能力生活质量和心功能

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Chronic heart failure (CHF) is a common chronic disease that requires much care. This study aimed to explore the effects of collaborative care model (CCM) on patients with CHF. A total of 114 CHF patients were enrolled in this study, and were randomly and equally divided into two groups: control and experimental. Patients in the two groups received either usual care or CCM for 3 continuous months. The impacts of CCM on the self-care ability and quality of life were assessed using self-care of heart failure index and short form health survey 12, respectively. Further, cardiac function was assessed by measuring left ventricular ejection fraction (LVEF) and the level of N-terminal pro-B-type natriuretic peptide (NT-proBNP), and by the 6-min walking test. Clinical and demographic characteristics of patients in the control and CCM groups were statistically equivalent. Compared with usual care, CCM significantly enhanced self-care abilities of patients with CHF, including self-care maintenance, self-care management and self-care confidence (all P<0.05). The physical and mental quality of life was also significantly improved by CCM (P<0.01 or P<0.05). Compared with usual care, CCM significantly increased the LVEF (P<0.01), decreased the NT-proBNP level (P<0.01), and enhanced exercise capacity (P<0.001). In conclusion, CCM improved the self-care, quality of life and cardiac function of patients with CHF compared with usual care.
机译：慢性心力衰竭（CHF）是一种常见的慢性疾病，需要多加注意。这项研究旨在探讨合作医疗模式（CCM）对CHF患者的影响。本研究共纳入114名CHF患者，将其随机平均分为两组：对照组和实验组。两组患者连续3个月接受常规护理或CCM。分别使用心力衰竭自我护理指数和简短健康调查12评估了CCM对自我护理能力和生活质量的影响。此外，通过测量左心室射血分数（LVEF）和N端前B型利尿钠肽（NT-proBNP）的水平，并通过6分钟步行测试来评估心脏功能。对照组和CCM组患者的临床和人口统计学特征在统计学上是等效的。与常规治疗相比，CCM显着增强了CHF患者的自我保健能力，包括自我保健维持，自我保健管理和自我保健信心（所有P <0.05）。 CCM也显着改善了身心生活质量（P <0.01或P <0.05）。与常规护理相比，CCM显着增加了LVEF（P <0.01），降低了NT-proBNP水平（P <0.01），增强了运动能力（P <0.001）。总之，与常规治疗相比，CCM改善了CHF患者的自我保健，生活质量和心脏功能。

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