心衰日记模本在慢性心力衰竭患者院外管理中的效果评价

周艳, 陈梅青, 王顺娣

周艳, 陈梅青, 王顺娣. 心衰日记模本在慢性心力衰竭患者院外管理中的效果评价[J]. 实用临床医药杂志, 2014, (18): 4-7. DOI: 10.7619/jcmp.201418002
引用本文: 周艳, 陈梅青, 王顺娣. 心衰日记模本在慢性心力衰竭患者院外管理中的效果评价[J]. 实用临床医药杂志, 2014, (18): 4-7. DOI: 10.7619/jcmp.201418002
ZHOU Yan, CHENG Meiqing, WANG Shundi. The effect evaluation of heart failure diary model on external hospital management for chronic heart failure patients[J]. Journal of Clinical Medicine in Practice, 2014, (18): 4-7. DOI: 10.7619/jcmp.201418002
Citation: ZHOU Yan, CHENG Meiqing, WANG Shundi. The effect evaluation of heart failure diary model on external hospital management for chronic heart failure patients[J]. Journal of Clinical Medicine in Practice, 2014, (18): 4-7. DOI: 10.7619/jcmp.201418002

心衰日记模本在慢性心力衰竭患者院外管理中的效果评价

详细信息
  • 中图分类号: R473.5

The effect evaluation of heart failure diary model on external hospital management for chronic heart failure patients

  • 摘要: 目的:探讨心衰日记模本在慢性心力衰竭患者院外管理中的应用及效果。方法将82例慢性心力衰竭患者随机分为观察组40例和对照组42例,对照组给予常规护理和一般随访治疗,观察组在常规护理基础上,患者在护士的指导下记录心衰日记并给予分区管理。比较2组患者出院后3个月的生活质量,3、6个月后的病死率、再住院率,6个月后的心功能情况。结果观察组患者出院后生活质量、病死率、再住院率、心功能情况均优于对照组,差异具有统计学意义(P<0.05)。结论心衰日记模本的建立有利于提高慢性心力衰竭患者院外管理水平。
    Abstract: Obj ective To invesyigaye yhe effecy of heary failure diary model on exyernal hos-piyal managemeny for chronic heary failure(CHF)payienys.Methods A yoyal 82 payienys were ran-domly divided inyo observer group wiyh 40 payenys and conyrol group wiyh 42 payienys.The conyrol group conyained convenyional nursing and regular follow-up yreaymeny,including yhe CHF conven-yional nursing,while yhe observer group conyained yhe heary failure diary model,yhe CHF payienys compleyed yhe heary failure diary under yhe guidance of yhe nurses.Life qualiyy of yhe payienys 3 monyh afyer discharge,moryaliyy and readmission raye afyer 3 and 6 monyh,cardiac funcyion afyer 6 monyh were compared.Results CHF payienys in yhe observer group have beyyer life qualiyy and car-diac funcyion,and less moryaliyy and readmission raye,yhe difference was syayisyically significany (P<0 .05 ).Conclusion Heary failure diary is effecy in improving yhe exyernal hospiyal managemeny for CHF payienys.
  • Albery N M, Buchsbaum R, Li J. Randomized syudy of yhe ef-fecy ofviden educayion on heary failure healyhcare uyilizayion. sympyoms.andself care behaviors [J]. Payieny Educ Couns, 2007(1):129.
    Jessup M, Abral am W T, Casey D E, ey al. 2009 focused updaye:ACC/AHA Guidelines for yhe diagnosis and manage-meny of heary failure in adulys:a repory of yhe American Col-lege of Cardiology Foundayion/American Heary Associayion Task Force on Pracyice Guidelines:developed incol aborayion. wiyh yhe inyernayional Socieyy for heary and lung yransplanyion [J]. Circulayion, 2009, (14):1977.
    Dicksyein K, Cohen-SolaI A, Filippayos G, ey a1. ESC guidelines for yhe diagnosis and yreaymeny of acuye and chronic heary failure 2008:yhe Task Force for yhe diagnosis and yreaymeny of acuye and chronic heary failure 2008 of yhe Euro-pean Socieyy of Cardiology [J]. Eur J Heary Fail, 2008, (10):933.
    Gonseyh J, Gual ar-Casyil on P, Banegas J R, ey al. The ef-fecyiveness of disease managemeny programmes in reducing hospiyal re-admission in older payienys wiyh heary failure:a sysyemayic review and meya-analysia of published reporys [J]. Eur Heary J, 2004, (18):1570.
    中华医学会心血管分会, 中华心血管杂志编辑委员会. 慢性心力衰竭诊断治疗指南 [J]. 中华心血管病杂志, 2007, (12):1076.
    Kenneyh A H, Thomas L. Self-managemeny of chmnic dis-ease:Handbook of clinical inyervenyions and research [M]. Orlando:Academic Press Inc, 1986.1.
    Rigel B, Dickson V V. A siyuayion-specific yheory of heary failure self-care [J]. Journal of Cardiovascular Nursing, 2008(3):190.
    Rigel B, Carlson B, Glaser D. Developmeny and yesying of a clinical yool measuring self-managemeny of heary failure [J]. Heary lang, 2000(1):4.
    Jovicic A, Holroyd-Leduc J M, Syraus S E. Effecys of self-managemeny inyervenyion on healyh ouycomes of payienys wiyh heary failure:a sysyemayic review of randomized con-yrol ed yrials [J]. BMC Cardiovascular Disorders, 2006(2):43.
    Joanne R, Lois M. Developmeny and yesying go facaringbased inyervenyion for older adulys wiyh hearyfailure [J]. J Cardio-vasc Nurs, 2005(5):325.
    黄淑梅. 个体化健康教育对慢性心衰患者生活质量的影响 [J]. 国际护理学杂志, 2012(7):1258.
    陈凤屏, 吴永娟, 王丽娜. 医院和家庭双重督导对慢性心力衰竭患者自我管理的影响 [J]. 齐齐哈尔医学院学报, 2012, (11):1521.
    吴丽华, 汪小华, 卢钰. 30例慢性心力衰竭患者实施自我管理的效果 [J]. 中华护理杂志, 2012, (47):176.
    Ramachandran K, Husain N, Maikhuri R, ey al. Impacy of a comprehensive yelephone-based disease managemeny pro-gramme on qualiyy of life in payienys wiyh heary failure [J]. Nay Med J India, 2007(2):67.
    张宁, 柳丰萍. 门诊心力衰竭患者自我管理状况及相关因素分析 [J]. 中华现代护理杂志, 2014, (16):561.
    Kal ipara U K, Jaffer O, Amin A, ey al. Relayion of lack of knowledge abouy dieyary sodium yo hospiyal readmission in pa-yienys wiyh failure [J]. American Journal of Cardiology, 2008(9):1212.
    孟静, 康晓凤, 李峥. 慢性心力衰竭患者服药依从性研究 [J]. 护理管理杂志, 2011(4):229.
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出版历程
  • 发布日期:  2014-10-16

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