摘要
目的：探讨院外护理干预对慢性心力衰竭患者的死亡及再次住院的影响。方法：入选自2002-07～2005-09心衰病人111例。随机分为两组，其中54例出院后继续定期接受专业护理人员的评估与指导，为干预组；另一组57例给予常规处理，为对照组。随访1年，观察两组1年全因死亡率、再次住院率、无事件生存率、住院天数、住院次数。结果：随访1年期间，干预组无事件生存率显著高于对照组（P〈0．05），死亡率显著低于对照组（P〈0．01）。1年期间干预组每人每月住院天数显著少于对照组（P〈0．01）．减少58％。干预组1年每人每月住院次数显著少于对照组（P〈0．01），减少45％。
Objective： To investigate the effect of nursing intervention on death and readmission in discharged patients with chronic heart failure. Methods：A total of 111 discharged patients with chronic heart failure were randomly assigned to be regularly followed up either by specially educated and experienced cardiac nurses （54 cases as intervention group） or to receive routine care （57 cases as control）. The first follow--up visit was 2-3 weeks after their discharge. During the visit,the nurse evaluated the heart failure status and the treatment, gave education about heart failure and social support to the patients and their families. Results ：There were more patients with free--events （death or admission） after 1-year follow--up in the intervention group compared to the control group （P 〈 0.05） and fewer deaths after 1 years （P〈 0.05）. The intervention group had fewer admissions （P〈0.01） and fewer days in hospitalization （P 〈0.01） ,and after 1 years the intervention was associated with a 45% decrease in admissions/each patient · each month （P〈 0.01） and with a 58% decrease in days in hospital/each patient , each month （P 〈0.01） .
出处
《黑龙江医药科学》
2007年第1期46-47,共2页
Heilongjiang Medicine and Pharmacy
关键词
心力衰竭
护理
heart failure
nursing
