Đánh giá thay đổi trong thực hành tự chăm sóc và ảnh hưởng đến kết quả điều trị ngoại trú của người bệnh suy tim mạn tính tại Bệnh viện Trung ương Quân đội 108

Abstract

Objective: To investigate the improved self-care behaviors and knowledge of patients with chronic heart failure after educational intervention at the Department of Medical Examination for Senior Staff - 108 Military Central Hospital and its initial impact on treatment results. Subject and method: 50 outpatients with chronic heart failure were educational interventions. All patients assess self-care behaviors (according to the EHFScB-9) scales and knowledge about heart failure (According to DHFKS) during the first visit and after three months of the educational intervention. The effect on treatment outcome based on the 6-minute walk test and NYHA class of heart failure. Results: Average age (67.3 ± 15.3 years), men (96%). The most cause of chronic heart failure was coronary artery disease (56%). At the 3^rd month after counseling, the patient's self-care behavior (23.5 ± 5.1) improved compared to when enrolled in the study (26.8 ± 4.3), with p<0.05, most clearly in the behavioral subgroups related to fluid control (criteria 1, 4 and 5). The DHFKS scale after 3^rd month improved significantly compared to when enrolled in the study (11.2 ± 3.9 vs. 9.2 ± 3.1), with p<0.05. The distance in the 6-minute walk test at the 3^rd month (240.5m) was higher than that before the counseling intervention (223.5m), with p<0.05. The 6-minute walking distance was correlated with cognitive scores (r = 0.48), and with self-care behavior scores (r = -0.52), with p<0.05. Conclusion: This study has demonstrated the role of counseling to improve knowledge and skills in self-care behaviors for patients with chronic heart failure and help improve the effectiveness of treatment for patients.