Volume 20 Issue 7
Jul.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(7): 1259-1262
ZHENG Ai-di, WANG Yong-mei, XU Jing, ZOU Hai-ying. Application of continuous nursing based on timing theory in patients with atrial fibrillation and chronic heart failure[J]. Chinese Journal of General Practice, 2022, 20(7): 1259-1262. doi: 10.16766/j.cnki.issn.1674-4152.002572
Citation: ZHENG Ai-di, WANG Yong-mei, XU Jing, ZOU Hai-ying. Application of continuous nursing based on timing theory in patients with atrial fibrillation and chronic heart failure[J]. Chinese Journal of General Practice, 2022, 20(7): 1259-1262. doi: 10.16766/j.cnki.issn.1674-4152.002572
shu

Application of continuous nursing based on timing theory in patients with atrial fibrillation and chronic heart failure

doi: 10.16766/j.cnki.issn.1674-4152.002572

  • Department of Cardiology, Hangzhou First People's Hospital, Hangzhou, Zhejiang 310006, China

Funds:

 2020KY208

  • Received Date: 2021-06-02
    Available Online: 2022-09-23
    Abstract
  •   Objective  To explore the effect of continuous nursing intervention based on timing theory on the compliance of anticoagulant medication and anticoagulant effect in patients with atrial fibrillation and chronic heart failure.  Methods  A total of 100 patients with atrial fibrillation and chronic heart failure admitted to Hangzhou First People's Hospital from January 2019 to June 2019 were selected. The patients were randomly divided into observation group and control group with 50 cases each. The patients in the control group were provided with routine nursing and discharge guidance. The patients in the observation group were provided with continuous nursing guidance based on the timing theory on the basis of the control group. Compliance with anticoagulant medication after 3 and 6 months discharge, International normalized ration (INR) compliance and complications were compared between the two groups.  Results  Before the nursing intervention, no significant difference in basic data was found between the two groups. After the nursing intervention, the medication compliance score (MMAS-8) of the observation group was significantly higher (7.42±0.87) than that of the control group (6.54±1.52, P=0.001) 3 months after the patients were discharged from the hospital. Six months after discharge, the medication compliance score (7.33±0.89) was also higher than that of the control group (6.39±1.49, P=0.001). The INR compliance rate of the 3-month follow-up observation group after discharge was significantly higher than that of the control group (P=0.009). The compliance rate 6 months after discharge was higher in the observation group than in the control group, but the difference was not significant (P=0.075). The number of complications in the follow-up examination 6 months after discharge (3 cases) was lower than that in the control group (9 cases), but the difference was not significant (P=0.065).  Conclusion  Implementing scientific and comprehensive continuation nursing based on timing theory for patients with atrial fibrillation and chronic heart failure can significantly improve the patient's medication compliance, increase the patient's INR compliance rate and reduce complications, leading to a good prognosis. Thus, this intervention is worthy of clinical application and promotion.

     

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