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| The influence of ESPCS intervention on chronic heart failure in cardiac rehabilitation |
| YE Lingxiao1,2, WANG Lili2, WANG Yanmin1, ZHANG Liping1,3 |
| 1.The Second School of Medicine, Wenzhou Medical University, Wenzhou 325035, China; 2.Department of Cardiovascular, Ningbo Medical Center Li Huili Eastern Hospital, Ningbo 315040, China; 3.Department of Clinical Skill Training, the Second Affiliated Hospital & Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou 325027, China |
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YE Lingxiao,WANG Lili,WANG Yanmin, et al. The influence of ESPCS intervention on chronic heart failure in cardiac rehabilitation[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2019, 49(8): 614-618.
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Abstract Objective: To explore the effect of ESPCS (explain-simulate-practice-communication-support) on the cardiac rehabilitation of patients with chronic heart failure (CHF) through the intervention of ESPCS model. Methods: There were totally 152 CHF selected from the hospital between Oct. 2017 and Nov. 2018, who were divided as the observation group and the control group with 76 cases in each. The control group received routine nursing guidance, while health education plan was customized for CHF in the observation group by establishing ESPCS model. The heart failure knowledge test (HFKT) and the self-care of heart failure index (SCHFI), as well as the situation of the left ventricular ejective fraction (LVEF), left ventricular diastolic diamein (LVEDd) and the rate of re-hospitalization were compared. Results: Low scores of HFKT and SCHIFI in patients with CHF were observed. Before the implementation, there was no significant difference between LVEF and LVEDd. After the implementation, the HFKT scores and SCHFI scores in two groups were investigated respectively twice in a month after discharge. The scores of the observation group were significantly higher than the control group (P<0.05). The number of CHF hospitalized for heart-related reasons was significantly lower in the observation group (1 patient) than that in the control group (10 patients). Meanwhile the LVEF and LVEDd was significantly improved compared with that in the control group one month after discharge. Conclusion: ESPCS model can support the health education of patients’ cardiac rehabilitation, so that patients with CHF better understand discharge guidance and achieve more effective self care by learning relevant knowledge.
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