The community management research in chronic heart failure by united teamwork model on specialist medicine and general family medicine

Objective Watch specialist-general joint team mode of community patients with chronic heart failure management effect,grope for establishing an effective pattern of the community management of chronic heart failure. Methods We researched 90 patients having chronic heart failure.With methods of random grouping,the patients were divided into management group and control group.The management group was managed by united teamwork,meanwhile the control group was managed by the GPs who didn't take part in this research.We collected the data on follow-up,health guidance,scales and laboratory indexes.After a year,we analyzed two group data on EF value,NT-proBNP,MLHFQ score,standard drug-taking rates on CHF,mortality and hospitalization rate. Results Compared with the baseline,there was no statistical significance on these two groups about age,cardiac function classification,drug-taking rates and other observation indexes(P>0.05).After managing,there was statistical significance among 6MWT(t=2.660,P=0.009),NT-proBNP(z=-3.380,P=0.033),MLHFQ score(z=-2.375,P=0.018) and physical(z=-3.460,P=0.037) and emotion score(z=-7.750,P<0.001).There was statistical significance among the drug-taking rates on ACEI/ARB(χ²=12.823,P<0.001)and β-blocker(χ²=11.390,P<0.001).There was statistical significance on hospitalization rate between management group and control group(χ²=4.220,P=0.040). Conclusion Compared with the general practice team model,the united teamwork model on specialist medicine and general family medicine can improve the management effect and life quality,and it is worth popularizing.