个案管理联合正念减压疗法对心力衰竭易损期患者的 应用效果研究.

Objective To explore the application effect of case management (CM) combined with mindfulness based stress reduction (MBSR) therapy in patients with vulnerable heart failure. Methods A total of 90 patients with vulnerable heart failure were recruited using convenience sampling method, and randomly divided into the control group, the case group, and the combination group using a random number table method, with 30 patients in each group. The control group received routine heart failure care, the case group received heart failure CM, and the combination group received heart failure CM combined with MBSR therapy. The scores of the self-rating anxiety scale (SAS), self-rating depression scale (SDS),self-perceived burden scale (SPBS), as well as the Minnesota heart failure quality of life score (MLHFQ) and readmission rate among the three groups of patients three months after discharge were compared. Results After three months of intervention, the SAS, SDS, SPBS and MLHFQ scores, and readmission rate of the combination group were lower than those of the control group and the case group, with statistically significant differences (P＜0.05). Conclusion The CM combined with MBSR can reduce the readmission rate, improve their psychological status and quality of life in patients with vulnerable heart failure. [ABSTRACT FROM AUTHOR]