Effect of a nurse led model of chronic disease management on cardiorespiratory fitness and health status of patients with atrial fibrillation

Objective To explore the effect of a nurse led model of chronic disease management on cardiorespiratory fitness and health status in patients with atrial fibrillation. Methods From January 2023 to August 2023, 58 patients with atrial fibrillation aged between 36 and 75 were admitted to the cardiology ward. They were randomly divided into an observation group and a control group, with 29 cases in each group. All patients received routine treatment and nursing interventions, and those in the observation group received a nurse led model of chronic disease management. Relevant indicators such as cardiorespiratory fitness, quality of life, and drug compliance for patients were measured at hospitalization and 3 months after discharge from hospital, and effectiveness of the interventions were assessed. Results Scores of Atrial Fibrillation-Quality of Life -18 (AF-QoL-18) and 8-item Morisky medication adherence scale (MMAS-8) were increased in both groups at three months after discharge from hospital, and scores of AF-QoL-18 and MMAS-8 in the observation group were higher than those in the control group (P＜0. 01). The VO2 peak was significantly higher in the observation group compared to control group at three months after discharge from hospital(P＜0. 01). Conclusion The nurse led model of chronic disease management is effective to improve the cardiorespiratory capacity and health status of patients with atrial fibrillation. (目的 探讨护士主导的慢性病管理模式对房颤患者心肺适能及健康状态的影响。方法 选取2023年1月—8月医院心血管内科病房收治的58例房颤患者为研究对象, 年龄36～75岁。将入组患者随机分为观察组和对照组, 各29例。对照组给予房颤常规治疗和护理, 观察组在对照组基础上给予护士主导的慢性病管理模式干预。分析患者住院时和出院3个月后心肺适能、生活质量、药物依从性等相关指标, 评价干预效果。结果 出院3个月后, 两组心房颤动患者生活质量量表(AF-QoL-18)和Morisky药物依从性量表(MMAS-8)评分均较出院准备期升高, 且观察组AF-QoL-18和MMAS-8量表评分高于对照组, 差异有统计学意义(P＜0. 01)。出院后3个月, 观察组VO2 peak优于对照组, 差异有统计学意义(P＜0. 01)。结论 护士主导的慢病管理模式可以改善房颤患者的健康状态。)