Haiyang Guan1, Li Wang1, Baofeng Zhu1, Ying Liu1, Jianhong Ji2. 1. Department of Emergency, The Second Affiliated Hospital, Nantong University Nantong, Jiangsu Province, China. 2. Intensive Care Unit 2, The Second Affiliated Hospital, Nantong University Nantong, Jiangsu Province, China.
Abstract
OBJECTIVE: To investigate the effect of integrated healthcare on the nursing of heart failure patients, as well as its influence on the negative emotions and the factors related to heart failure. METHODS:150 patients with acute heart failure admitted to our hospital were randomly divided into two groups. The patients in the control group underwent routine care, and the patients in the research group were treated with integrated healthcare. The two groups' general information, symptom improvements, six-minute walking distances, emotional conditions, quality of life (MLHFQ scores), N-terminal brain natriuretic peptide (NT-proBNP) levels, mortality rates, rehospitalization rates, and satisfaction rates were compared. RESULTS: The time required for symptom improvement in the research group was shorter than it was in the control group (P<0.001). The patients' six-minute walking distances in the research group were longer than the distances in the control group (P<0.001). There were no differences in the emotional changes between the two groups before the nursing (P>0.05), but after the nursing, the negative emotion scores in the research group were significantly decreased when compared with the control group (P<0.001). The MLHFQ scores and the NT-proBNP levels in the research group were both lower than they were in the control group (P<0.001). No significant differences were observed between the two groups in their mortality or rehospitalization rates (P>0.05). However, the patient satisfaction rates in the research group was higher than they were in the control group (P<0.05). CONCLUSION: As a care plan for patients with acute heart failure, the integrated healthcare plan significantly relieved the patients' anxiety and efficiently improved the patients' quality of life, an indication that integrated healthcare is worth promoting and applying clinically. AJTR
RCT Entities:
OBJECTIVE: To investigate the effect of integrated healthcare on the nursing of heart failurepatients, as well as its influence on the negative emotions and the factors related to heart failure. METHODS: 150 patients with acute heart failure admitted to our hospital were randomly divided into two groups. The patients in the control group underwent routine care, and the patients in the research group were treated with integrated healthcare. The two groups' general information, symptom improvements, six-minute walking distances, emotional conditions, quality of life (MLHFQ scores), N-terminal brain natriuretic peptide (NT-proBNP) levels, mortality rates, rehospitalization rates, and satisfaction rates were compared. RESULTS: The time required for symptom improvement in the research group was shorter than it was in the control group (P<0.001). The patients' six-minute walking distances in the research group were longer than the distances in the control group (P<0.001). There were no differences in the emotional changes between the two groups before the nursing (P>0.05), but after the nursing, the negative emotion scores in the research group were significantly decreased when compared with the control group (P<0.001). The MLHFQ scores and the NT-proBNP levels in the research group were both lower than they were in the control group (P<0.001). No significant differences were observed between the two groups in their mortality or rehospitalization rates (P>0.05). However, the patient satisfaction rates in the research group was higher than they were in the control group (P<0.05). CONCLUSION: As a care plan for patients with acute heart failure, the integrated healthcare plan significantly relieved the patients' anxiety and efficiently improved the patients' quality of life, an indication that integrated healthcare is worth promoting and applying clinically. AJTR
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