院外护理干预对慢性心力衰竭患者遵医行为及生存质量的影响

目的了解护理干预对慢性心力衰竭患者遵医行为及生存质量的影响。方法选择住院治疗的慢性心力衰竭患者随机分为对照组和干预组，对照组予以常规出院指导，干预组在此基础上予以积极院外护理干预。6个月后对两组患者进行遵医行为和生存质量（QOL）的评价。结果干预组在遵医行为的5个方面的遵医率均高于对照组（P〈0．01）；干预组的QOL量表4个方面的评分均低于对照组（P〈0．01）。结论护理干预对改善慢性心力衰竭患者的遵医行为及生存质量具有积极的意义。

Study on influence of nursing intervention on compliance behavior and Hying quality of the patients with CHF

Objective To study the influence of nursing intervention on compliance behavior and living quality of the patients with CHF. Methods The CHF patients who were treated in our hospital during January 2006 to January 2008 were selected as the study objects. All of the patients were divided into control group and intervening group. The patients in control group were instructed with the conventional guidance when leaving hospital, while the patients in intervening group were given with overall nursing intervention after leaving hospital. Results The rates of complying with doctor of the five aspects in the intervening group were higher than those in the control group(P<0.05). The scores of the four aspects of QOL of intervening group were lower than those of the control group(P<0.05). Conclusions Nursing intervention can play a very important role in promoting the behavior of complying with doctor and hying quality of the CHF patients.