CAJ | 학술논문

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。
목적：탐토심쇠일기모본재만성심력쇠갈환자원외관리중적응용급효과。방법장82례만성심력쇠갈환자수궤분위관찰조40례화대조조42례，대조조급여상규호리화일반수방치료，관찰조재상규호리기출상，환자재호사적지도하기록심쇠일기병급여분구관리。비교2조환자출원후3개월적생활질량，3、6개월후적병사솔、재주원솔，6개월후적심공능정황。결과관찰조환자출원후생활질량、병사솔、재주원솔、심공능정황균우우대조조，차이구유통계학의의（P＜0．05）。결론심쇠일기모본적건립유리우제고만성심력쇠갈환자원외관리수평。
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.