Establishment And Application Effect Of Chronic Heart Failure Patients Receive Community Easy Management System

Research Background:In China, with the sharp increase in the aging population, aging population continues to emergence, the incidence of hypertension, coronary heart disease, diabetes and other diseases is increasing, obesity, smoking, lack of exercise and other social phenomena rising. In this backdrop, chronic heart failure(CHF) prevalence is also increasing. In our metropolitan community, a large number of chronic heart failure(CHF) patients, there is a high incidence of low diagnosis, treatment is not standardized and other issues, and ultimately makes urban communities with chronic heart failure(CHF) patient quality of life continue to decrease, mortality rates increased, a serious threat to life and health of the people, and therefore increase the urban community with chronic heart failure(CHF) patients with standardized management is very important. China has not yet been to the community with chronic heart failure(CHF) patients, large-scale epidemiological studies, no patients with heart failure to intervene more comprehensive management system and more detailed reports, the lack of more complete communities chronic heart failure(CHF) related to the treatment and prognosis data.Research purposes:1? To understand the status in some communities in Tianjin chronic heart failure population characteristics, based on the development of slow population characteristics Community interventions heart failure.2?Discussions on the community management of community intervention in chronic heart failure patients could benefit in Tianjin, providing a new way for the comprehensive prevention and control of chronic heart failure, with chronic heart failure(CHF) in patients with community-application results simple management system.Research methods:This study selected Hongqiao District in the West Village Street and Dingzigu Street Community Health Center resident jurisdiction sheet as investigation object, and select from chronic heart failure patients met the diagnosis, were screened to select from all eligible patients diagnosed with chronic heart failure survey sample, were identified 160 cases of patients with chronic heart failure, as the object of our jurisdiction sheet resident survey study management and the use of randomized 160 cases respondents were randomly divided into intervention group and control group, each group 80 cases. End during the six-month intervention. Interventions include: self-assessment questionnaire, selected according to the assessment of whether a doctor involved in treatment, doctors actively involved in management: sign measurements, disease lectures guidance, follow-up diagnosis; lifestyle guidance; medication wills and psychological counseling.After the intervention, the quantitative analysis of the intervention and control groups in the rates of hospital admission, readmission difference frequency, quality of life and mortality, it is determined in the community with chronic heart failure(CHF) patients with simple management intervention.Statistical method:SPSS13.O using statistical software for data analysis. Measurement data and statistics count data were described as mean ± standard deviation or number of cases(proportions); differences between groups respectively compared with t test(normal distribution measurement data) or non-parametric(non-normal distribution measurement data) or chi-square test(count data).Research result:1, The survey total income of two community health service centers jurisdiction sheet 160 patients with chronic heart failure(CHF) patients. Age intervention group and control group between 40-92 years, mean 70.2 Disabled 7.2 years; male 85 cases(53.12%), female 75 cases(46.88%)?2,Two groups of patients with heart failure of conventional medicine: ACEI / ARB, 45 Li, 28.13%; ?-blockers, 53 cases, 33.13%; aldosterone receptor antagonist, 8, 5.00%; lifestyle: Low salt fat diet, 94 cases, 58.75%; low-salt low-fat diet 94 58.75%; regular exercise, 67 cases, 41.88%; do not exercise, 93 cases, 58.13%.3,After the two groups after the intervention compare with readmission rates of the two groups were statistically significant differences in mortality were significant differences for effective community management interventions can effectively reduce the patient readmission rates and mortality.4, After an effective intervention, readmission rates and readmission(days) the two groups are significant differences(P <0.05), which turned in community summary management interventions can reduce readmission rates and readmission of patients total time(days). Chronic heart failure(CHF) management knowledge and management of patients with behavioral disorders, between the intervention and control groups was significant difference(P <0.05), the presence of the quality of life of chronic heart failure(CHF) patients with a significant difference(P < 0.05).5, Prior to the two groups of patients in community nursing intervention, carried out their own Medical Care Survey study found no significant difference(P> 0.05); after administration of the community health care interventions, found that self-care intervention group, there will be significant of increase(P <0.05), it is displayed in the community, for chronic heart failure(CHF) patient, give some effective medical care interventions that can significantly increase a patient's own medical care.Analysis conclusion:1, Through this study can be seen on the community with chronic heart failure(CHF) was observed in patients, elderly patients with chronic heart failure(CHF) patients, in their own self-care interventions, capacity is still relatively poor, can use their own personalized management interventions. Recommendation in the community, establishing a simple management system.2, Through the intervention of community management system simple, chronic heart failure(CHF) patients was significantly decreased mortality, length of stay and the number of days it is also significantly shorter in patients with self-care has improved significantly. Sick disease management knowledge and behavior significantly enhanced, simplified management system proves Community system for chronic heart failure(CHF) patient management.