Volume 29, Issue 4, 2020
DOI: 10.24205/03276716.2020.847
Effects of Continuous Nursing on Patients with Chronic Heart Failure Complicated with Atrial Fibrillation
Abstract
Objective: To assess the effects of continuous nursing on patients with chronic heart failure complicated with atrial fibrillation.
Methods: A total of 60 patients with chronic heart failure complicated with atrial fibrillation who were diagnosed in Department of Cardiology of our hospital from January 2017 to August 2019 were enrolled and assigned into observation group (n=30) and control group (n=30) using a random number table. Conventional discharge guidance was implemented in control group, while continuous nursing was conducted in observation group. The self-care ability score, compliance of warfarin anti-coagulation therapy, international normalized ratio (INR), coagulation time, quality-of-life score and nursing satisfaction were then compared between the two groups.
Results: After nursing, the self-care ability score in observation group was higher than that in control group (P<0.05). The compliance rate of warfarin anti-coagulation therapy in observation group was higher than that in control group (96.67% vs. 76.67%, P<0.05). Observation group exhibited a higher INR (P<0.05), and longer thromboplastin time, prothrombin time and activated partial thromboplastin time than control group (P<0.05) after nursing. Following nursing, the quality-of-life score in observation group was lower than that in control group (P<0.05), while the overall nursing satisfaction rate in observation group was higher than that in control group (96.67% vs. 80.00%, P<0.05).
Conclusion: Continuous nursing can effectively enhance the self-care ability and the compliance of warfarin anti-coagulation therapy in patients with chronic heart failure complicated with atrial fibrillation, thereby helping improve their anti-coagulation function and quality of life and achieving a higher nursing satisfaction rate.
Keywords
cardiology; chronic heart failure; atrial fibrillation; continuous nursing