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Long-term follow-up and evaluation of the treatment effect of self-administered family therapy of patients with chronic Keshan disease / 中华地方病学杂志
Chinese Journal of Endemiology ; (12): 806-809, 2019.
Article in Chinese | WPRIM | ID: wpr-790933
ABSTRACT
Objective To analyze and evaluate the long-term effects of self-administered family therapy (family therapy) interventions on patients with chronic Keshan disease,and provide guidance for improving patient survival and quality of life.Methods A retrospective analysis method was used to collect case data of patients with chronic Keshan disease who participated in family therapy intervention projects for 2 consecutive years or more in Zoucheng City,Shandong Province from 2008 to 2018.According to the general conditions,clinical signs,the changes of electrocardiogram,cardiac color ultrasound,cardiac function grading,the therapeutic effect and prognosis were evaluated.Results A total of 74 patients with chronic Keshan disease were studied,including 33 males and 41 females,with an average age of 47.63 years old.At the last survey of family therapy,the total effective rate was 78.38% (58/74).Fisher's exact probability test showed that environmental factors had a significant effect on the efficacy of patients with chronic Keshan disease (P < 0.05),indicating that leaving the local epidemic area could affect the patient's efficacy;and the patient's gender,age,occupation,psychological factors and economic status had no significant effect on the efficacy (P > 0.05).Before and after the family therapy,the distribution of cardiothoracic ratio and cardiac function grading were significantly different,and the ventricular high voltage condition was significantly improved (P < 0.05);the patient's cardiac function grading before family therapy and the effect of the last family therapy had a significant effect on the final outcomes (P < 0.05).Conclusions The long-term continuous family therapy intervention has a significant effect on the curative effect of patients with chronic Keshan disease,and can improve the prognosis even better.Family therapy is a scientific intervention that requires long-term adherence.

Full text: Available Index: WPRIM (Western Pacific) Type of study: Practice guideline / Prognostic study Language: Chinese Journal: Chinese Journal of Endemiology Year: 2019 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Type of study: Practice guideline / Prognostic study Language: Chinese Journal: Chinese Journal of Endemiology Year: 2019 Type: Article