CAJ | 학술논문

目的医院与社区结合对慢性心力衰竭患者进行健康教育，探索进行健康教育后慢性心力衰竭患者生活质量、服药依从性、心力衰竭再住院率等方面的作用。方法选择出院的慢性心力衰竭患者1263例，随机分为二组：医院与社区联合组630例，社区组633例，所有病例平均随访12±1.6个月。结果医院与社区联合组患者的低盐饮食、适当运动、戒烟、服药依从性、LVEF、生活质量均明显高于管理前和社区组，差异均有统计学意义（均P＜0.05）；再住院率、平均住院日较社区组分别减少19.48%、4.98天，均有显著性差异（P＜0.05）。结论通过医院与社区联合对院外慢性心力衰竭患者进行健康教育管理，可改变生活方式，显著提高患者的生活质量、服药依从性，降低再住院率和平均住院日。
목적의원여사구결합대만성심력쇠갈환자진행건강교육，탐색진행건강교육후만성심력쇠갈환자생활질량、복약의종성、심력쇠갈재주원솔등방면적작용。방법선택출원적만성심력쇠갈환자1263례，수궤분위이조：의원여사구연합조630례，사구조633례，소유병례평균수방12±1.6개월。결과의원여사구연합조환자적저염음식、괄당운동、계연、복약의종성、LVEF、생활질량균명현고우관리전화사구조，차이균유통계학의의（균P＜0.05）；재주원솔、평균주원일교사구조분별감소19.48%、4.98천，균유현저성차이（P＜0.05）。결론통과의원여사구연합대원외만성심력쇠갈환자진행건강교육관리，가개변생활방식，현저제고환자적생활질량、복약의종성，강저재주원솔화평균주원일。
Objective To explore the effect of joint hospital and community health education on the life quality, medication compliance and readmission rates of patients with chronic heart failure. Methods 1263 discharged patients with chronic heart failure were randomly divided into two groups:630 cases in the joint hospital and the community group and 633 cases in community groups with mean follow-up duration of 12±1.6 months. Results Patients in joint hospital and community group showed better performance in low-salt diet, moderate exercise, smoking cessation, medication compliance, LVEF and life quality than the that before the management and of community groups and the differences were statistically significant (P<0.05);readmission rate and average length of stay decrease 19.48%and 4.98 days respectively compared with the community group, and the differences were significant (P<0.05). Conclusion The joint hospital and community health education for patients with chronic heart failure can promote lifestyle changes, significantly improve the life quality and medication compliance and reduce readmission rates and average length of stay.