心力衰竭疾病管理对患者预后的影响

发布时间：2018-11-18 07:33

【摘要】：目的:探讨心力衰竭(心衰)疾病管理对患者心衰知识、心衰自我照顾能力及心衰恶化再住院的影响。方法:选择在我院心内科首诊为心衰的住院患者111例,随机分为管理组(56例)和对照组(55例),管理组给予心衰疾病管理模式,对照组给予常规诊疗及随访模式;测量工具为心衰知识量表和心衰自我照顾量表,同时收集患者的心衰再住院率及病死率情况。结果:入组时2组患者的心衰知识得分及心衰自我管理能力无明显差异。3个月随访时,2组患者的心衰知识得分均明显提高(P0.05),2组对心衰自我照顾的维持、管理和信心评分均显著提高(P0.05),且管理组较对照组改善明显(P0.05);通过3个月随访,2组分别有9例(16.1%)和20例(36.4%)患者发生心衰再住院[风险比(HR)=0.423,95%可信区间(CI):0.190~0.943,P=0.035]。结论:心衰疾病管理的实施可以提高患者的心衰相关知识,且能够有效地实施自我照顾,显著降低患者心衰再住院率。
[Abstract]:Objective: to investigate the effect of heart failure disease management on heart failure knowledge, self care ability and rehospitalization. Methods: 111 patients with heart failure were randomly divided into management group (56 cases) and control group (55 cases). The management group was given the management mode of heart failure disease, the control group was given routine diagnosis and treatment and follow-up mode. Heart failure knowledge scale and heart failure self-care scale were used to measure the rehospitalization rate and death rate of patients with heart failure. Results: there was no significant difference in the score of heart failure knowledge and the ability of self-management of heart failure between the two groups at the time of entering the group. After 3 months of follow-up, the scores of heart failure knowledge in the two groups were significantly increased (P0.05), and the maintenance of self-care for heart failure in both groups was observed. Management and confidence scores were significantly increased (P0.05), and the management group than the control group significantly improved (P0.05); After 3 months follow-up, 9 patients (16.1%) and 20 patients (36.4%) had heart failure in both groups [risk ratio: (HR) = 0.423 95% confidence interval (CI): 0.190 0. 943 P 0.035]. Conclusion: the implementation of heart failure disease management can improve the patients' knowledge of heart failure, effectively implement self-care, and significantly reduce the rate of re-hospitalization of patients with heart failure.
【作者单位】：秦皇岛市第一医院心内科;秦皇岛市第三医院心内科;
【分类号】：R542.2

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