| ObjectiveTo explore the influence of collaborative care mode on self-care ability,quality of life and long-term compliance in patients with chronic heart failure(CHF),and to provide the basic references for improving their self-care behavior and quality of life.MethodsCHF patients who met the inclusion criteria in the Department of Cardiology,a comprehensive tertiary hospital in Changsha,Hunan Province from October 2017 to October 2018 were investigated.According to the patient's ward,the first department of cardiology was randomly used as the intervention group,and the second department of cardiology was used as the control group.There were 55 patients in each group.Except regular care for all patients,the patients in the intervention group were given the coordinated care.The Self-Care of Heart Failure Index(SCHFI)and the Minnesota Living with Heart Failure Questionnaire(MLHFQ)were used to assess Self-care ability,quality of life,long-term adherence,and readmission rate when the two groups were admitted to the hospital,discharged,and intervened for three months.The database was built using SPSS22.0 software,and data analysis was performed using t test,?2 test,and repeated measures analysis of variance.Results(1)A total of 103 patients with CHF completed the collection of all data,including 52 patients in the control group and 51 patients in the intervention group.(2)Before the intervention,the self-care maintenance,self-care management and self-care confidence scores of the patients in the control group were respectively(34.52±4.66),(35.96±6.14),and(18.98±6.79);their scores in the intervention group were respectively(35.00±5.70),(35.96±6.14),and(19.28±7.76).There were no significant differences for the scores of self-care subscales between the two groups(P>0.05).After intervention,when the patients were discharged from hospital,the scores of the self-care maintenance,self-care management and self-care confidence in the control group were respectively(37.21±5.05),(40.54±7.62)and(41.70±6.06);their scores in the intervention group were respectively(48.06±8.59),(55.85±8.62)and(59.15±13.64).Compared two groups' scores,the scores of self-care subscales in the intervention group was higher than that in the control group,and the difference was statistically significant(P<0.05).After 3 months of intervention,the scores of self-care maintenance,self-care management and self-care confidence in the control group were respectively(40.41±10.80),(45.43±7.88)and(47.5±9.43);their scores in the intervention group were respectively(51.58±8.94),(61.7±8.74)and(69.68±10.74).The scores of self-care subscales in the intervention group were significantly higher than that in the control group(P<0.05).(3)Before the intervention,the total score of quality of life in the control group was(48.48±2.57),and the scores of the dimension in the body field,the dimension in the emotional field and the other dimensions were respectively(22.27±1.76),(10.04±1.17),and(16.17±1.67);the total score of quality of life in the intervention group was(49.06±2.74),and the scores of the dimension in the physical field,the dimension in the emotional field and the other dimensions were respectively(22.84±1.55),(10.2±0.94),and(16.02±1.67).There was no significant differences in the scores of quality of life between the two groups(P>0.05).After intervention,when the patients were discharged from hospital,the total score of quality of life in the control group was(40.5±4.29),and the scores of the dimension in the body field,the dimension in the emotional field and the other dimensions were respectively(16.33±3.06),(9.42±1.43),(14.75±2.46);the total score of quality of life in the intervention group was(35.14±4.79),and the scores of the dimension in the body field,the dimension in the emotional field and the other dimensions were respectively(13.59±3.2),(8.69±1.39),and(12.86±2.47).The total score of quality of life and the scores of each dimension in the intervention group were lower than that in the control group,and the difference was statistically significant(P<0.05).After 3 months of intervention,the total score of quality of life in the control group was(36.77±4.36),and the scores of the dimension in the body field,the dimension in the emotional field and the other dimensions were respectively(14.6±2.88),(8.75±1.62),and(13.42±2.90.);the total score of quality of life in the intervention group was(29.59±4.85),and the scores of the dimension in the body field,the dimension in the emotional field and the other dimensions were respectively(11.1±2.74),(7.73±1.72),and(10.76±2.78).The scores of total quality of life and each dimension in the intervention group were significantly lower than that in the control group(P<0.05).(4)After intervention,when the patients were discharged from hospital,the rate of long-term compliance of the patients in the intervention group was higher than that in the control group,and the difference was statistically significant(P<0.05).After 3 months of intervention,the rate of the long-term compliance of the patients in the intervention group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).(5)After intervention,the re-admission rate of the patients in the intervention group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).ConclusionsThe collaborative care model could be used for improving the self-care level and self-care behavior of patients with chronic heart failure,enhancing their quality of life,and reducing their rate of readmission. |
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