CAJ | 학술논문

目的了解慢性心力衰竭(简称心衰)患者自我护理知识认知程度对再住院的影响,为护理人员提供准确有效的出院指导提供依据.方法对98例非第1次住院的心衰患者于入院后进行问卷调查,了解其住院前的家庭护理知识认知情况.结果 34%患者表示以往没有接受过医务人员全面系统的出院指导,其家庭护理知识的认知度评分低于接受过出院指导的患者(P＜0.05);患者文化程度对认知度也有影响(P＜0.05);再住院间期较长的患者,其家庭护理知识认知度评分较高(P＜0.01).结论医护人员应重视及完善心衰患者的出院指导,提供全面及有针对性的家庭护理知识宣教,降低患者短期再住院率.
목적 료해만성심력쇠갈(간칭심쇠)환자자아호리지식인지정도대재주원적영향,위호리인원제공준학유효적출원지도제공의거.방법 대98례비제1차주원적심쇠환자우입원후진행문권조사,료해기주원전적가정호리지식인지정황.결과 34%환자표시이왕몰유접수과의무인원전면계통적출원지도,기가정호리지식적인지도평분저우접수과출원지도적환자(P＜0.05);환자문화정도대인지도야유영향(P＜0.05);재주원간기교장적환자,기가정호리지식인지도평분교고(P＜0.01).결론 의호인원응중시급완선심쇠환자적출원지도,제공전면급유침대성적가정호리지식선교,강저환자단기재주원솔.
Objective to know the effects of cognitive level of family care knowledge on recurrent hospital in chronic heart failure (CHF) patients, and to offer gist for precise and effective education when patients are discharged from hospital. Methods On the first day of CHF patients hospitalized from 2007 to 2008, the patients who were not hospitalized once time were investigated on knowledge of family care. Results The patients who had not accepted precise and effective education from staff before leaving hospital (34%) had lower cognitive level of family care knowledge compared with others (P＜ 0. 05 ); the patients' educational level had obvious effects on cognitive level of family care knowledge (P ＜ 0. 05); the patients whose readmission time of hospital discharge were longer had higher cognitive level of family care knowledge ( P ＜ 0. 01 ). Conclusions The staff should improve and attach importance to the education for CHF patients before their leaving hospital, offer comprehensive and pertinent teaching of family care knowledge for CHF patients, and reduce recurrent hospital rate in short period.