Management of patients with chronic heart failure
慢性心衰病人的管理

摘要

目的 研究慢性心衰患者采取4P管理模式时的价值。方法 2022年9月~2023年9月，选在我院接收的慢性心衰患者70例，分为观察、参照组。观察组实行4P管理模式，即（1）精准医疗；（2）个性化护理；（3）身心康复；（4）合理膳食。参照组采用常规管理。结果 管理满意率，观察组管理满意率高于参照组，对比差异明显（P<0.05）。SF-36评分，管理前生活质量指标无统计学差异（P>0.05），管理后有统计学意义（P<0.05）。心功能指标水平，管理前心功能指标无明显差异（P>0.05），管理后差异明显（P<0.05）。结论 慢性心衰患者实施4P管理模式，患者认可程度较高，可稳定心功能水平，并提升患者生活质量，值得后期推广应用。

Abstract

Objective To study the value of 4P management in patients with chronic heart failure.
Methods From September 2022 to September 2023, 70 patients with chronic heart failure were selected and divided into observation and reference groups. The observation group implements the 4P management model, namely: (1) precision medicine; (2) individualized care; (3) physical and mental rehabilitation; (4) Reasonable diet. Reference groups are managed on a regular basis.
Results The management satisfaction rate in the observation group was higher than that in the control group, and the difference was significant (P < 0.05). There was no significant difference in SF-36 score and quality of life index before management (P > 0.05), but there was significant difference after management (P < 0.05). There was no significant difference in the level of cardiac function indexes before management (P > 0.05), and there was a significant difference in cardiac function index after management (P < 0.05).
Conclusion   The implementation of the 4P management model in patients with chronic heart failure has a high degree of recognition from patients, can stabilize the level of cardiac function and improve the quality of life of patients, and is worthy of promotion and application in the future.