JCNRJournal of Clinical and Nursing Research2208-36852208-3693Bio-Byword Scientific Publishing Pty. Ltd.10.26689/jcnr.v8i10.6391ArticleClinical Study on the Effect of Continuity of Care in CICU on Improving Cognitive Function and Psychological State in Patients with Heart Failurehttps://artdesignp.com/journal/JCNR/8/10/10.26689/jcnr.v8i10.6391SangJin,XieYuqing,ZhuXintong20248102024-10-24Objective: To analyze the effect of continuity of care in the cardiac intensive care unit (CICU) on improving cognitive function and psychological state in patients with heart failure (HF). Methods: A total of 112 chronic HF patients admitted to the CICU of Xuzhou Traditional Chinese Medicine Hospital from July 2022 to August 2024 were selected and randomly divided into two groups using the red and blue ball method: a control group (n = 56) and a study group (n = 56). The control group received routine CICU nursing management, while the study group received routine CICU nursing combined with continuity of care management. Cognitive function (using the Montreal Cognitive Assessment, MoCA), psychological state (using the Self-Rating Depression Scale, SDS, and Self-Rating Anxiety Scale, SAS), and quality of life (using the Minnesota Living with Heart Failure Questionnaire, MLHFQ) were compared between the two groups. Results: After the intervention, the cognitive function scores of the study group were significantly higher than those of the control group (P < 0.05). The SDS and SAS scores of the study group were significantly lower than those of the control group after the intervention (P < 0.05). The quality of life in the study group was also significantly better than in the control group (P < 0.05). Conclusion: CICU continuity of care can effectively improve cognitive function and psychological state in patients with HF, while also enhancing their quality of life.

Liu X, Wang J, Xue S, et al., 2023, Study on the Effect of Continuous Care on the Medical Compliance and Quality of Life of Elderly Patients with Chronic Heart Failure. Guizhou Medical Journal, 47(6): 982–983.

Chu G, Zhang L, Wang C, 2024, Analysis of the Influencing Factors of Cognitive Dysfunction in Patients with Chronic Heart Failure. Journal of Cardiovascular and Cerebrovascular Diseases with Integrated Traditional Chinese and Western Medicine, 22(14): 2514–2517.

Zhang Y, 2022, The Effect of CICU Continuous Care Pathways on Improving the Cardiac Function and Disease Management Ability of STAMI Patients. Cardiovascular Disease Prevention and Treatment Knowledge, 12(6): 36–38.

Cardiovascular Disease Branch of the Chinese Medical Association, Editorial Committee of the Chinese Journal of Cardiovascular Diseases, 2007, Guidelines for the Diagnosis and Treatment of Chronic Heart Failure. Chinese Journal of Cardiovascular Diseases, 35(12): 1076–1095.

Zheng L, 2024, The Impact of Detailed Double-Permeability Nursing Intervention on Comfort Scores and SF-36 Scores in CICU Patients with Acute Exacerbation of Chronic Heart Failure. Cardiovascular Disease Prevention and Treatment Knowledge (Academic Edition), 14(1): 130–132.

Ma Y, 2011, Preliminary Application of the Montreal Cognitive Assessment in Cognitive Evaluation of Chronic Heart Failure. China Medical Innovation, 8(24): 40–42.

Duan Q, Sheng L, 2012, Clinical Validity of Self-Rating Anxiety and Depression Scales. Chinese Journal of Mental Health, 26(9): 676–679.

Wang X, Jiang Y, Kang X, et al., 2022, Study on the Reliability and Validity of the Chinese Version of the Health Collaborator Scale in Patients with Chronic Heart Failure. Chinese General Practice, 25(4): 497–504.

Hou C, Liu X, Zhou P, 2022, The Effect of CICU Continuous Care on Cognitive Function and Psychological Status in Elderly Patients with Chronic Heart Failure. Qilu Journal of Nursing, 28(13): 45–47.

Sun Y, Hu F, 2022, Analysis of the Effect of CICU Continuous Care on Cognitive Function and Psychological Status in Elderly Patients with Chronic Heart Failure. Journal of Cardiovascular Diseases with Integrated Traditional Chinese and Western Medicine (Electronic Edition), 10(23): 120–122.