Effect of integrated medical and nursing management mode on medication compliance and complications in elderly patients with heart failure treated with sacubitril/valsartan

doi:10.3877/cma.j.issn.1674-0785.2022.06.021

Abstract

Abstract:

Objective

To observe the effect of integrated medical and nursing management mode on medication compliance and complications in elderly patients with heart failure treated with sakubatrel/valsartan.

Methods

One hundred and six patients with heart failure admitted to the Department of Cardiovascular Medicine of Jiangsu Provincial People's Hospital from January to December 2020 were included, and they were treated with sakobutrel/valsartan on the basis of conventional treatments such as cardiac strengthening and diuretic after admission. The 106 patients were divided into two groups according to the management mode used after admission: 55 cases managed conventionally were included in a control group and 51 patients managed using integrated medical and nursing management mode were included in an integrated medical care group. The patients were followed for 6 months after discharge. The differences in total efficacy, satisfaction, compliance, and complication rates between the two groups were observed after discharge.

Results

At the 6-month follow-up after discharge, the complication rate in the integrated medical care group was significantly reduced compared with that of the control group (P＜0.05), while the overall effective rate, medication compliance, and satisfaction were significantly higher (P＜0.05).

Conclusion

For elderly heart failure patients treated with sakubatrel/valsartan, the integrated medical and nursing management mode can effectively improve patients' medication compliance after discharge, reduce the complication rate, and improve the overall efficacy.

Key words: Integration of medical care, Sacubitril/valsartan, Heart failure, Compliance, Elderly

Weiwei Zong, Dongmei Xu, Xinyue Zhang, Jie Geng. Effect of integrated medical and nursing management mode on medication compliance and complications in elderly patients with heart failure treated with sacubitril/valsartan[J]. Chinese Journal of Clinicians(Electronic Edition), 2022, 16(06): 588-592.

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https://zhlcyszz.cma-cmc.com.cn/EN/Y2022/V16/I06/588

Figures/Tables 5

组别	年龄（岁， $x ¯$ ±s）	性别［例（%）］		病程（年， $x ¯$ ±s）	心功能NYHA分级［例（%）］			基础疾病［例（%）］
组别	年龄（岁， $x ¯$ ±s）	男	女	病程（年， $x ¯$ ±s）	Ⅱ级	Ⅲ级	Ⅵ级	冠心病	扩张型心肌病	肺源性心脏病
医护一体化组（51例）	64.3±3.1	27（52.9）	24（47.1）	2.5±0.5	11（21.6）	20（39.2）	20（39.2）	25（49.0）	11（21.6）	15（29.4）
对照组（55例）	64.9±2.9	29（52.7）	26（47.3）	2.6±0.6	13（23.6）	14（25.5）	28（50.9）	31（56.4）	14（25.5）	10（18.1）
t/χ²值	-1.030	0.001		-0.928	2.411			1.855
P值	0.306	0.982		0.355	0.299			0.396

组别	年龄（岁， $x ¯$ ±s）	性别［例（%）］		病程（年， $x ¯$ ±s）	心功能NYHA分级［例（%）］			基础疾病［例（%）］
组别	年龄（岁， $x ¯$ ±s）	男	女	病程（年， $x ¯$ ±s）	Ⅱ级	Ⅲ级	Ⅵ级	冠心病	扩张型心肌病	肺源性心脏病
医护一体化组（51例）	64.3±3.1	27（52.9）	24（47.1）	2.5±0.5	11（21.6）	20（39.2）	20（39.2）	25（49.0）	11（21.6）	15（29.4）
对照组（55例）	64.9±2.9	29（52.7）	26（47.3）	2.6±0.6	13（23.6）	14（25.5）	28（50.9）	31（56.4）	14（25.5）	10（18.1）
t/χ²值	-1.030	0.001		-0.928	2.411			1.855
P值	0.306	0.982		0.355	0.299			0.396

组别	例数	显效	有效	无效	总有效率
医护一体化组	51	45（88.2）	5（9.8）	1（2.0）	50（98.0）
对照组	55	14（25.5）	32（58.1）	9（16.4）	46（83.6）
χ²值					4.850
P值					0.028

组别	例数	依从	部分依从	不依从	总依从率
医护一体化组	51	46（90.2）	4（7.8）	1（2.0）	50（98.0）
对照组	55	23（41.8）	15（27.3）	17（30.9）	38（69.1）
χ²值					15.730
P值					＜0.001

组别	例数	十分满意	满意	不满意	总满意度
医护一体化组	51	23（45.1）	15（29.4）	13（25.5）	38（74.5）
对照组	55	49（89.1）	5（9.1）	1（1.8）	54（98.2）
χ²值					12.935
P值					＜0.001

组别	例数	疲劳	皮疹	高钾血症	肾功能不全	症状性低血压	血管性水肿	总并发症发生率
医护一体化组	51	0（0）	0（0）	1（2.0）	1（2.0）	2（4.0）	1（2.0）	5（9.8）
对照组	55	2（3.6）	2（3.6）	3（5.5）	4（7.3）	2（3.6）	4（7.3）	17（30.9）
χ²值								7.167
P值								0.007

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