The effects of diversified continuous care model on the post-discharge cardiac re-habilitation of the patient with coronary heart disease

Abstract

Objective To explore the effect of hospitals , communities , families diversified factors implementing continuous nursing model on the post -discharge cardiac rehabilitation of patients with coronary heart disease （ CHD） .Methods A total of 151 patients with coronary heart disease were selected from January 2011 to January 2013 in our hospital and divided into observation group and control group . When they discharged from hospital and rehabilitation after 1 year, they were surveyed by the full -time doctors on quality of life , blood pressure, blood sugar, blood fat success rate, recurrence of cardiovascular vents.Results When two groups of patients discharged from hos-pital, there was no significant difference in the incidence rate of abnormal blood pressure , blood sugar, blood fat （P〉0.05） and 1 year after the rehabilitation , the observation group of patients with abnormal blood pressure , blood sugar , blood lipid rate were significantly lower than those in the control group （ P〈0.01 ） .There was no significant difference in discharge quality of life score significance （ P〉0.05 ） , and fol-lowed up for 1 years later, the quality of life score in observation group of patients was significantly higher than that of the control group （P〈0.05~0.01 ） .The difference of two groups of patients with readmission rate was statistically significant （ P〈0.05 ） .Conclusions Diver-sified continuous care model can improve the life quality of patients , promote the blood pressure , blood sugar , blood fat to reach standard , be a effective measures for the early cardiac rehabilitation , and it is wothing spreading in clinic . Key words: Diversified; Continuous care model; Coronary heart disease; Cardiac rehabilitation; Outside the hospital medical; Secondary prevention; Quality of life