Effects of JCI guided Standardized Nursing on Blood Pressure Level, Compliance and Disease Outcome in Patients with Severe Heart Failure

Jiang Xue; Zhang Xiuying; Zhang Tianlong; Bi Yueying; Mu Wenjin; Li Qian

doi:10.3969/j.issn.1674-4055.2019.05.25

Abstract：Objective To investigate the effects of standardized care guided by JCI criteria on blood pressure levels, compliance, and disease outcome in patients with severe heart failure. Methods 94 patients with severe heart failure received in Beijing Chaoyang Integrative Medicine Emergency Medical Center from March 2017 to July 2018 were divided into two groups according to random number table method, with 47 cases in the control group and 47 cases in the intervention group. . The control group received routine nursing of cardiology, and the intervention group implemented standardized care guided by JCI standard on the basis of the control group: using the standardized language of "CICARE"; conducting the "medical care responsibility management system" mode, explaining the "patient instructions", Through the ＂salt control spoon＂, ＂control blood pressure＂, ＂pressure reduction＂, ＂Ba Duan Jin＂ and other forms of health education; out-of-hospital follow-up is based on the ＂sparrow health platform＂ to set up ＂healthy steward＂ to improve the ＂health document＂. The blood pressure level, changes of cardiac function index, treatment compliance and quality of life were compared between the two groups. Results Systolic blood pressure (SBP) and diastolic blood pressure (DBP) levels in the two groups were lower than those before intervention (P＜0.05), and those in the intervention group were lower than those in the control group (P＜0.05). The cardiac function indexes of the two groups were improved compared with those before intervention (P＜0.05), and the intervention group was better than the control group (P＜0.05). The treatment compliance of intervention group was 91.49%, which was higher than 74.47% of control group (P＜0.05). The Minnesota Living with Heart Failure Questionnaire (LiHFe) scores of the two groups were lower than those before intervention (P＜0.05), and those in the intervention group were lower than those in the control group (P＜0.05). Conclusion Standardized nursing guided by JCI standard for patients with severe heart failure can effectively improve their treatment compliance, significantly reduce blood pressure level, significantly improve cardiac function and quality of life.