Effect Of Comprehensive Assessment of Nursing Mode on The Care Ability of Family Members and Quality of Life of Patients with Acute Heart Failure

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Lei Wang, Chen Ye, Dong Mei Liu, Zhen Zhen Xu

Abstract

To explore the effect of comprehensive assessment of nursing mode on the care ability of family members and quality of life of patients with acute heart failure. Methods 118 patients with acute heart failure treated in our hospital were randomly divided into two groups: control group (n = 59) treated with routine nursing intervention and study group (n = 59) treated with comprehensive nursing mode intervention. Care was initiated at the time of admission until discharge. Family care, changes in cardiac function, quality of life, compliance, satisfaction, and self-management, 6-minute walk test (6MWT), and New York Heart Association (NYHA) classification were compared between the two groups. Results The scores of family care ability in the study group were lower than those in the control group (P=0.000). After nursing intervention, the levels of CO and LVEF in the study group and the control group were higher than those before intervention (P<0.05), and the levels of LVEDD and HR in the study group were lower than those in the control group (P=0.000). The scores of qualities of life in the study group were higher than those in the control group (P=0.000). The compliance rate in the study group was higher than that in the control group (P=0.002). The satisfaction degree in the study group was higher than that in the control group (P<0.05). The score of self-management in study group was higher than that in control group (P=0.000). The 6MWT level at discharge in the study group was higher than that in the control group after intervention. The odds of NYHA functional class II in the study group were higher than that in the control group. The odds of classes III and IV were lower than that in the control group, but the difference had no statistical significance (P=0.087). Conclusion: Comprehensive assessment of nursing mode intervention in patients with acute heart failure is beneficial to the improvement of the patient's family's nursing ability and quality of life, as well as the improvement of cardiac function, the improvement of the patient's compliance, satisfaction, the level of 6MWT and NYHA functional classification.

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