摘要
目的 探究基于O2O模式的中医健康管理在气虚证心力衰竭(HF)患者中的应用效果。方法 选取合肥市第二人民医院于2021年2~6月收治的120例气虚证HF患者为研究对象,采用简单随机法分为观察组(60例,采用基于O2O模式的中医健康管理)和对照组(60例,采用常规健康管理模式)。比较2组患者的中医证候积分、心功能[心输出量(CO)、左室射血分数(LVEF)、左室峰射血率时间(LVTPER)]、运动水平[6分钟步行试验距离(6MWT)、运动耐量]、生活质量[明尼苏达心衰生活质量量表(MLHFQ)评分]以及再住院率。结果 干预2个月后,2组的主症、次症、舌脉和中医证候总积分和MLHFQ评分均低于同组干预前(P均<0.05),且观察组均低于对照组(P均<0.05)。干预1个月及2个月后,2组的CO和LVEF均较干预前升高,LVTPER均较干预前降低,6MWT和运动耐量均大于干预前,差异均有统计学意义(P均<0.05);干预2个月后,2组的CO和LVEF均较干预1个月升高,LVTPER均较干预1个月降低,6MWT和运动耐量均较干预1个月增大,差异均有统计学意义(P均<0.05)。观察组在干预1个月和2个月后的CO、LVEF均较同期对照组更高,LVTPER均较同期对照组更低,6MWT和运动耐量均较同期对照组更大,差异均有统计学意义(P均<0.05)。观察组在随访期间的再住院率低于对照组(P<0.05)。结论 基于O2O模式的中医健康管理可有效改善气虚证HF患者的临床症状、心功能和生活质量,提高其运动耐力,有效降低再住院率。
Objective To explore the application effect of traditional Chinese medicine health management based on O2O model in heart failure(HF)patients with qi deficiency syndrome.Methods A total of 120 HF patients with qi deficiency syndrome admitted to the Second People's Hospital of Hefei from February to June 2021 were recruited and allocated into an observation group(60 cases for traditional Chinese medicine health management based on O2O model)and a control group(60 cases for conventional health management model)by simple random sampling.The traditional Chinese medicine syndrome scores,cardiac function(cardiac output[CO],left ventricular ejection fraction[LVEF],left ventricular time to peak ejection rate[LVTPER]),exercise level(6-min walk test[6MWT],exercise tolerance),quality of life(Minnesota Living with Heart Failure Questionnaire[MLHFQ]score),and readmission rate of the two groups were compared.Results After 2 months of intervention,the main symptom score,minor symptom score,tongue pulse score,and total score of traditional Chinese medicine syndrome and MLHFQ score in both groups were lower than those before intervention(all P<0.05),and the observation group had lower scores than the control group(all P<0.05).After 1 and 2 months of intervention,the CO and LVEF in both groups were higher than those before intervention;the LVTPER was lower than that before intervention;the 6MWT and exercise tolerance were better than those before intervention(all P<0.05).After 2 months of intervention,the CO,LVEF,6MWT,and exercise tolerance were increased,and the LVTPER were decreased in both groups when compared with those after 1 month of intervention(all P<0.05).After 1 and 2 months of intervention,the CO and LVEF in the observation group were higher than those in the control group;the LVTPER was lower than that in the control group;the 6MWT and exercise tolerance were better than those in the control group(all P<0.05).The readmission rate of the observation group was lower than that of the control group during the follow-up(P<0.05).Conclusion Traditional Chinese medicine health management based on the O2O model can effectively improve the clinical symptoms,cardiac function,quality of life,and exercise tolerance of HF patients with qi deficiency syndrome,and effectively reduce the readmission rate.
作者
潘培茜
方宁
王静
PAN Peiqian;FANG Ning;WANG Jing(The Second People's Hospital of Hefei,Hefei,Anhui,230011,China)
出处
《中西医结合护理（中英文）》
2023年第4期41-44,共4页
Journal of Clinical Nursing in Practice
关键词
心力衰竭
气虚证
O2O模式
中医健康管理
heart failure
qi deficiency syndrome
O2O model
traditional Chinese medicine health management
作者简介
潘培茜(1993.02-),女,硕士研究生,护师,心内科,研究方向:心内科护理。
