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The Effect of Individualized Treatment on the Prognosis of Elderly Patients with Chronic Heart Failure |
HUANG Zhigang, LI Yan |
Yunnan First People's Hospital, Yunnan Kunming 650032, China |
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Abstract Objective: To investigate the effect of geriatric comprehensive assessment intervention on the prognosis of hospitalized elderly patients with chronic heart failure, so as to provide reference for the health protection of elderly patients. Methods: During the period of January 2014 to January 2016, 220 inpatients with CHF were included in this study as the research object, randomly divided into control group and observation group, 110 cases in each group. The control group was given routine drug treatment and symptomatic treatment, the observation group was given comprehensive evaluation of the elderly, and the multidisciplinary treatment was organized according to the evaluation results, and individual treatment program was formulated. Two groups of patients were followed up for 1 year. The mortality, readmission rate, emergency visit rate, cardiac function, cognitive function and quality of life were compared and analyzed. Results: The mortality, readmission rate and emergency visit rate of the observation group were 8.18%, 23.64% and 16.36%, respectively, which were lower than 19.09%, 38.18% and 30% of the control group (P<0.05); After the intervention, the LVEF of the observation group was (51.25±6.68), which was significantly higher than that of the control group (46.71±5.87) (P<0.05); The C-MLHF score was (37.61+6.51), which was significantly lower than that of the control group (45.51±5.59) (P<0.05); The MoCA score was (24.51±2.87), which was significantly higher than that of the control group (22.59±2.91)(P<0.05). Conclusion: The elderly intervention after comprehensive geriatric assessment can significantly reduce the mortality, readmission rate, emergency treatment rate, improve cardiac function, cognitive function and quality of life, and improve the prognosis of elderly patients with chronic heart failure, which is worthy of clinical use.
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[1] 刘辉,姚璐,张薇,等.老年综合评估护理模式对老年冠心病患者不良事件的影响[J].中国循证心血管医学杂志,2016,8(9):1090~1092. [2] 屈海宏,陈长香.老年综合评估护理模式对老年冠心病患者心脏与护理不良事件的影响[J].山西医药杂志,2014,(8):963~964. [3] 黄蔚,孙颖,沈潞华,等.老年综合征与心力衰竭预后的研究进展[J].中华老年多器官疾病杂志,2014,(9):652~655. [4] 魏华,宋蕾,安妮娜,等.老年综合评估与老年失代偿期心力衰竭住院患者死亡率的关系研究[J].中华现代护理杂志,2016,22(16):2260~2263. [5] 梁世秀,王少凡,胡松,等.老年综合评估干预对老年慢性心力衰竭住院患者预后的影响[J].中国老年学杂志,2016,36(20):5023~5024. [6] 陈欣.老年综合评估在老年心力衰竭住院患者中的应用[J].中西医结合护理(中英文),2017,3(5):101~102. [7] 谭丽娟,张悟棠,冷婧,等.慢性充血性心力衰竭预后评价及危险因素探讨[J].中国药物与临床,2015,(6):884~886. [8] 胡芬.康复运动治疗老年慢性心力衰竭患者的有效性和安全性研究[J].中国现代药物应用,2014,(5):232~233. [9] 谢海霞.老年慢性心力衰竭患者自我护理能力的初步调查与分析[J].当代医学,2014,(22):163~164. [10] 孙倩倩,王双.老年综合评估的临床应用及研究进展[J].中国老年学杂志,2012,32(3):660~662. [11] 屈海宏,陈长香,徐爱茹,等.根据老年综合评估的护理干预对老年冠心病患者生活质量的影响[J].心血管康复医学杂志,2014,20(2):209~212. [12] 何劲,周华英,赵国华,等.老年综合评估在老年疾病预后中的应用效果[J].老年医学与保健,2017,23(3):229~230,247. [13] 屈海宏,陈长香,徐爱茹,等.老年综合评估护理干预在提高老年冠心病患者生活质量中的应用[J].中华现代护理杂志,2014,20(20):2485~2488. [14] 傅琼,储苏平,莫利萍,等.老年人综合评估对居家老人健康干预效果及分析[J].老年医学与保健,2016,22(4):245~248. [15] 王丹,吴春丽.老年综合评估在住院老年患者中应用的临床意义[J].中国民康医学,2014,(24):101~102. [16] 林妍,王雷懿,王震,等.老年人综合评估和干预对出院患者预后的影响[J].中华老年医学杂志,2014,33(10):1089~1092. |
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