摘要
目的:探讨中医慢性病综合管理对老年慢性心力衰竭康复疗效和依从性的影响。方法:将100例老年慢性心力衰竭患者为研究对象,按照数字表法随机分为观察组和对照组,各50例。对照组给予常规药物治疗和护理,观察组在此基础上应用中医慢性病综合管理,对比2组患者治疗前后中医证候积分、6 min步行试验、慢性心力衰竭认知、服药依从性及心功能疗效。结果:治疗后,观察组心功能疗效总有效率高达96.00%,对照组为68.00%,观察组高于对照组,差异有统计学意义(P<0.05)。治疗后,2组6 min步行试验均增高,观察组高于对照组,差异有统计学意义(P<0.05)。经治疗,2组中医证候积分较前下降(P<0.05)。治疗后2组间比较,差异有统计学意义(P<0.05)。治疗后,观察组各认知情况较前提高(P<0.05),对照组知识得分较前提高(P<0.05)。2组间各得分(知识得分除外)比较,差异有统计学意义(P<0.05)。治疗后,2组患者服药依从性得分均增高,观察组增高程度高于对照组,差异有统计学意义(P<0.05)。结论:中医慢性病综合管理可以改善老年慢性心力衰竭患者的心功能、中医证候,增加其运动耐量,提高其疾病认知度及服药依从性。
Objective:To discuss the effect of integrated chronic disease management in Chinese medicine on the rehabilitation effect and compliance in senile chronic heart failure.Methods:Selected 100 cases of patients with senile chronic heart failure as study subjects,and divided them into the observation group and the control group randomly,50 cases in each group.The control group received routine medicine and nursing,while the observation group additionally received integrated chronic disease management in Chinese medicine.Compared Chinese medicine syndrome scores,6-minute walk test,cognition of chronic heart failure,medication compliance and therapeutic effect of cardiac function in both groups before and after treatment.Results:After treatment,the total effective rate of cardiac function was 96.00%in the observation group,being higher than 68.00%in the control group,difference being significant(P<0.05).After treatment,the results of 6-minute walk test in both groups were increased,and the results of 6-minute walk test in the observation group were higher than those in the control group(P<0.05).After treatment,Chinese medicine syndrome scores in both groups were lower than those before treatment(P<0.05);comparing Chinese medicine syndrome scores in-between the two groups,there was significant difference being found(P<0.05).After treatment,the degree of disease cognition in the observation group was higher than that before treatment(P<0.05),and the scores of cognition in the control group were higher than those before treatment(P<0.05);comparing the scores of cognition(except the scores of cognition)in-between the two groups,there was significant difference being found(P<0.05).After treatment,the scores of medication compliance in both groups were increased,and the degree of increase in the observation group was higher than that in the control group,difference being significant(P<0.05).Conclusion:Integrated chronic disease management in Chinese medicine can improve cardiac function and Chinese syndrome,increase exercise tolerant and promote the degree of disease cognition and medication compliance in patients with senile chronic heart failure.
作者
张海勋
侯凤芝
张强
ZHANG Haixun;HOU Fengzhi;ZHANG Qiang
出处
《新中医》
CAS
2020年第2期57-60,共4页
New Chinese Medicine
关键词
慢性心力衰竭
老年
慢性病综合管理
服药依从性
6
min步行试验
Chronic heart failure
Senile
Integrated chronic disease management
Medication compliance
6-minute walk test
