Effect of a Diversified Nursing Model on the Intervention Outcomes in Elderly Patients with Chronic Heart Failure and Malnutrition

WANG Baorong; JIANG Heguo; ZHU Hong; SUI Yan; CHEN Ting

doi:10.13919/j.issn.2095-6274.ZHJY202510045

Abstract：Objective To investigate the intervention effect of a diversified nursing model on elderly patients with chronic heart failure(CHF)and malnutrition.Methods A total of 200 elderly patients with CHF and malnutrition ad-mitted to The Affiliated People's Hospital of Jiangsu University from July 2024 to July 2025 were selected as the study sub-jects.They were randomly divided into an observation group(receiving the diversified nursing model,n=100)and a control group(receiving routine nursing care,n=100)using a random number table.Nutrition-related indicators[serum albumin(ALB),hemoglobin(Hb),prealbumin(PA)],cardiac function-related indicators[left ventricular ejection fraction(LVEF),brain natriuretic peptide(BNP)],negative emotions(SAS score and SDS score),quality of life(MLHFQ score),and the time required for improvement in cardiac function and nutritional status were compared.Results Before the interven-tion,there were no significant differences between the two groups in ALB,Hb,PA,LVEF,BNP,SAS score,SDS score,and MLHFQ score(P>0.05).After the intervention,all the above indicators improved significantly compared to pre-interven-tion levels in both groups.Furthermore,the ALB,Hb,PA,and LVEF in the observation group were significantly higher than those in the control group(P<0.001),while the SAS score,SDS score,BNP,and MLHFQ score were significantly lower than those in the control group(P<0.001).The time required for a 2-grade improvement in cardiac function(P<0.001)and the time for nutritional status to return to normal(P<0.001)were significantly shorter in the observation group than in the control group.Conclusion In the treatment of elderly patients with CHF and malnutrition,the diversified nursing model is beneficial in correcting mal-nutrition,improving cardiac function,alleviating negative emotions,enhancing quality of life,and shortening the time re-quired for improvement in both cardiac function and nutritional status.