Abstract: Objective　To evaluate the effect applying intelligent nursing information system in the continuous intervention for patients with acute chronic heart failure after discharge. Methods　This was a retrospective study. A total of 100 patients with acute chronic heart failure admitted to Intensive Care Unit (ICU), Houjie Hospital from January to December 2020 were selected. From January to June 2020, 50 patients with acute attack of chronic heart failure in ICU who received routine care under the intelligent nursing information system were selected as a control group. From July 2020 to December 2020, the rest 50 patients with acute attack of chronic heart failure in ICU were selected as an experimental group. The control group had 28 males and 22 females; they were (60.6±4.7) years old; the disease duration was (5.1±0.6) years; and the hospitalization duration was (20.2±2.7) days. The experimental group had 27 males and 23 females; they were (60.5±4.8) years old; the disease duration was (5.2±0.5) years; the hospitalization duration was (20.1±2.6) days. The scores of Exercise of Self-Care Agency (ESCA) and quality of life, readmission rates, and incidences of adverse reactions were observed and analyzed in the 2 groups. t test and χ² test were used for the comparison between the groups. Results　Before the intervention, the scores of ESCA and quality of life were (99.1±13.5) and (66.1±7.4)) in the control group, and were (98.6±13.8) and (65.8±7.1) in the experimental group, with no statistical differences (both P>0.05). After the intervention, the scores of ESCA and quality of life were (101.1±10.5) and (74.2±8.1) in the control group, and were (108.9±11.4) and (82.1±9.4) in the experimental group, with statistical differences (t=3.559 and 4.502; both P<0.001). Within one year after discharge, the readmission rate and incidence of adverse reactions were 4.0% (2/50) and 2.0% (1/50) in the experimental group, and were 18.0% (9/50) and 22.0% (11/50) in the control group, with statistical differences (χ²=5.005 and 9.470; P=0.025 and 0.002). Conclusion　The implementation of continuous intervention under intelligent nursing information system can improve the self-care ability of ICU patients with acute attack of chronic heart failure, reduce the occurrence of adverse reactions and readmission rate, and improve their quality of life.

Key words: Intelligent nursing information system, ICU, Acute attack of chronic heart failure, Continuous intervention, Conventional nursing

摘要： 目的　探讨智慧护理信息系统应用于慢性心力衰竭急性发作患者出院后延续性干预效果评价。方法　本文为回顾性研究。选取东莞市厚街医院2020年1月至12月重症监护病房（ICU）收治的100例慢性心力衰竭急性发作患者，2020年1月至6月在智慧护理信息系统下实施常规护理的50例ICU慢性心力衰竭急性发作患者为对照组，2020年7月至12月在智慧护理信息系统下实施延续性干预的50例ICU慢性心力衰竭急性发作患者为试验组。对照组男28例，女22例，年龄（60.6±4.7）岁，病程（5.1±0.6）年，住院时间（20.2±2.7）d。试验组男27例，女23例，年龄（60.5±4.8）岁，病程（5.2±0.5）年，住院时间（20.1±2.6）d。观察分析两组患者的自我护理能力测定量表（ESCA）评分、生活质量评分、再入院率及不良反应情况。组间比较采用t检验和χ²检验。结果　干预前，对照组ESCA评分为（99.1±13.5）分、生活质量评分为（66.1±7.4）分，试验组分别为（98.6±13.8）分、（65.8±7.1）分，两组比较差异均无统计学意义（均P>0.05）；干预后，对照组ESCA评分（101.1±10.5）分、生活质量评分为（74.2±8.1）分，试验组分别为（108.9±11.4）分、（82.1±9.4）分，均较干预前有所提高，其中试验组提高更明显，两组比较差异均有统计学意义（t=3.559、4.502，均P<0.001）。出院后1年内，试验组再次入院［4.0%（2/50）］、不良反应发生率［2.0%（1/50）］均明显少于对照组再次入院［18.0%（9/50）］、不良反应发生率［22.0%（11/50）］，差异均有统计意义（χ²=5.005、9.470，P=0.025、0.002）。结论　在智慧护理信息系统下实施延续性干预，可提高ICU慢性心力衰竭急性发作患者自我护理能力，减少不良反应的发生，降低再次入院率，有利于提升生活质量。

关键词: 智慧护理信息系统, ICU, 慢性心力衰竭急性发作, 延续性干预, 常规护理