慢性心力衰竭患者延续护理质量现状及分析

发布时间：2018-03-09 01:08

本文选题：慢性心力衰竭　切入点：延续护理　出处：《广东医学》2017年12期 　论文类型：期刊论文

【摘要】：目的调查慢性心力衰竭患者延续护理质量现状,为后续提高护理质量提供参考。方法采用延续护理测评量表(care transitions measure,CTM),采取便利抽样法,对泸州市某三级甲等医院心血管内科住院治疗的318例慢性心力衰竭患者进行调查。结果本研究共发放问卷318份,回收有效问卷310份,有效回收率为97.48%。310例慢性心力衰竭患者CTM得分为(63.16±10.95)分,各维度得分由高到低依次为:书面计划、一般自护准备、医患沟通、症状管理。量表的17个条目中,得分最低的5个条目分别是:清楚药物不良反应(1.22±0.53)分、清楚如何联系医务人员(1.50±0.70)分、获得全部所需知识(1.61±0.68)分、清楚如何应对不适症状(2.04±0.77)分、清楚监测哪些症状和体征(2.33±0.67)分。结论慢性心力衰竭患者延续护理质量亟待提高,应引起医务人员的重视。
[Abstract]:Objective to investigate the status of nursing quality in patients with chronic heart failure continues, and provide a reference for further improve the quality of nursing. Methods continue nursing assessment scale (care transitions measure, CTM), take convenience sampling method to investigate 318 cases of patients with chronic heart failure treatment of cardiovascular medicine lives in a three level of first-class hospital in Luzhou city. The results of this study were 318 questionnaires, 310 valid questionnaires, the effective recovery rate was 97.48%.310 CTM in patients with chronic heart failure score (63.16 + 10.95) points, the scores from high to low: a written plan, general self-care preparation, doctor-patient communication, symptom management. 17 items scale, 5 the lowest score items are: clear adverse drug reactions (1.22 + 0.53) points out how to contact the medical staff (1.50 + 0.70) points, obtain all the necessary knowledge (1.61 + 0.68) points out how to deal with discomfort Symptoms (2.04 + 0.77), which symptoms and signs were monitored clearly (2.33 + 0.67). Conclusion the quality of continuity of care in patients with chronic heart failure needs to be improved, which should arouse the attention of medical staff.

【作者单位】：西南医科大学护理学院;西南医科大学附属医院护理部;西南医科大学附属医院传染科;西南医科大学附属医院心内科;
【基金】：西南医科大学附属医院课题(编号:2015-HL-004)
【分类号】：R473.5

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