超灵敏脉波传感器联合医院社区家庭三维模式管理在慢性心力衰竭中的应用

Application of Ultra-Sensitive Pulse Wave Sensor Combined with Three-Dimensional Management Mode of Hospital-Community-Family in Chronic Heart Failure

摘要: 目的：本研究目的旨在探讨超灵敏脉波传感器联合医院社区家庭三维模式在心衰患者管理中的应用，以改善患者的临床结局。方法：本研究为多中心、前瞻性、随机、对照研究，选取2020年1月1日~2023年12月30日于青岛大学附属医院及市南区社区卫生服务中心就诊的心力衰竭(CHF)患者，按照入选及排除标准共纳入172例CHF患者进入本研究，并随机分为三维模式观察组、传感器联合三维模式观察组。根据课题设计给予不同干预方式，平均随访时间为6个月，观察两组患者干预随访后NT-proBNP、左室射血分数(LVEF)值指标的变化，以及六分钟步行测试(6MWT)、生活质量表(MLHFQ)评分、再住院率的差异。结果：干预随访后，观察组与联合观察组的LVEF值显著升高，NT-proBNP水平显著降低，且联合观察组的效果最为显著，差异有统计学意义(P < 0.05)。此外，干预后6MWT距离增加，MLHFQ评分降低，联合观察组效果最佳，差异有统计学意义(P < 0.05)。尽管两组患者在干预后再住院率差异无统计学意义(P > 0.05)，但联合观察组和观察组均显示出下降趋势，且联合观察组下降幅度最大。结论：通过超灵敏脉波传感器联合三维模式在心衰患者管理中的应用能够改善患者预后，降低再住院率，提高患者的生活质量，展现出良好的临床应用前景。

Abstract: Objective: The purpose of this study was to investigate the application of an ultra-sensitive pulse wave sensor combined with three-dimensional hospital-community-family model in the management of heart failure (HF) patients to improve clinical outcomes. Methods: This multicenter, prospective, randomized, controlled trial included 172 patients with chronic heart failure (CHF) admitted to the Affiliated Hospital of Qingdao University and Shinan District Community Health Service Center between January 1, 2020, and December 30, 2023, who met predefined inclusion and exclusion criteria. Participants were randomized into two groups: a three-dimensional model observation group, and a sensor combined with three-dimensional model observation group. Interventions were administered according to the study protocol, with a mean follow-up period of 6 months. Outcomes assessed included changes in NT-proBNP levels, left ventricular ejection fraction (LVEF), 6-minute walk test (6MWT) distance, Minnesota Living with Heart Failure Questionnaire (MLHFQ) scores, and rehospitalization rates. Results: After the intervention and follow-up, both the observation group and the combined observation group showed significantly increased LVEF values and significantly reduced NT-proBNP levels, with the most pronounced effects observed in the combined observation group (P < 0.05). Additionally, the 6MWT distance increased and the MLHFQ score decreased post-intervention, with the combined observation group demonstrating the greatest improvement, and these differences were statistically significant (P < 0.05). Although there was no statistically significant difference in rehospitalization rates between the two groups after the intervention (P > 0.05), both the combined observation group and the observation group exhibited a downward trend, with the largest reduction seen in the combined observation group. Conclusion: The integration of an ultra-sensitive pulse wave sensor with a three-dimensional hospital-community-family model in HF management improves prognosis, reduces rehospitalization trends, enhances quality of life, and exhibits significant clinical potential for optimizing patient care.