基于时机理论的家庭护理对慢性心力衰竭患者自我管理的效果研究*

目的: 探讨以时机理论为框架的家庭护理对慢性心力衰竭患者自我管理的影响。方法: 选择2018年1月至12月入住心内科首次心力衰竭发作的患者23例为观察组。在常规护理与随访的基础上给予以时机理论为基础的家庭护理;对照组为2017年1月至12月心内科住院的首次心力衰竭发作的25例患者。接受心内科常规护理与随访;比较两组出院6个月时的自我管理、生活质量及再入院率。结果: 出院6个月时,观察组的自我管理优于对照组。生活质量得分、再入院率低于对照组,差异有统计学意义（P<0.05）。结论: 基于时机理论的家庭护理能有效提高CHF患者的自我管理能力,改善其生活质量,降低再入院率。

Effect of home care on self-management of patients with chronic heart failure based on timing theory

Objective: To explore the effect of home care on the self-management of patients with chronic heart failure (CHF) based on the theory of timing. Methods: 23 patients with first onset heart failure in cardiology from January to June 2018 in the observation group were given home care based on timing theory; 25 patients from January to December 2017 in control group were received routine care and follow-up. The level of self-management, quality of life and re-admission rate were recorded at 6 months after discharge. Results: The patients in observation group had higher level of self-management, lower scores of living quality, and lower re-admission rate than those of in the control group(P<0.05). Conclusion: Home care based on timing theory can effectively improve the self-management ability and quality of life, and reduce the rate of re-admission of CHF patients.