实用临床医药杂志
實用臨床醫藥雜誌
실용림상의약잡지
JOURNAL OF JIANGSU CLINICAL MEDICINE
2014年
14期
17-19
,共3页
HtoH%慢性心力衰竭%依从性%再入院率%心脏功能
HtoH%慢性心力衰竭%依從性%再入院率%心髒功能
HtoH%만성심력쇠갈%의종성%재입원솔%심장공능
HtoH%chronic heart failure%compliance%readmission rate%cardiac function
目的：探讨医院到家庭（HtoH）的连续护理模式对慢性心衰老年患者用药依从性、再入院率及心脏功能改善的影响。方法选取新疆地区汉、维、哈萨克族慢性心力衰竭患者64例，将所有患者按年龄、性别、民族匹配分为2组，即护士随访组与非随访组。6个月后观察2组患者用药依从性、再入院率及心脏功能改善情况。结果在非随防组，β受体阻滞剂与氢氯噻嗪6个月后服用率显著低于出院时的服用率（P ＜0．05），其他药物服用率也有下降趋势，但差异无统计学意义（P ＞0．05）；在随访组，出院时和随访6个月后的药物使用率差异无统计学意义（P ＞0．05）。相比于非随访组，随访组的左室射血分数、左右射血分数＞0．40的人数有增加趋势，左室舒张末期容积则有下降趋势，但差异无统计学意义（P ＞0．05），而患者再入院次数则显著降低（P ＜0．01）。结论 HtoH的连续护理模式可以显著改善用药依从性、再入院率及心脏功能。
目的：探討醫院到傢庭（HtoH）的連續護理模式對慢性心衰老年患者用藥依從性、再入院率及心髒功能改善的影響。方法選取新疆地區漢、維、哈薩剋族慢性心力衰竭患者64例，將所有患者按年齡、性彆、民族匹配分為2組，即護士隨訪組與非隨訪組。6箇月後觀察2組患者用藥依從性、再入院率及心髒功能改善情況。結果在非隨防組，β受體阻滯劑與氫氯噻嗪6箇月後服用率顯著低于齣院時的服用率（P ＜0．05），其他藥物服用率也有下降趨勢，但差異無統計學意義（P ＞0．05）；在隨訪組，齣院時和隨訪6箇月後的藥物使用率差異無統計學意義（P ＞0．05）。相比于非隨訪組，隨訪組的左室射血分數、左右射血分數＞0．40的人數有增加趨勢，左室舒張末期容積則有下降趨勢，但差異無統計學意義（P ＞0．05），而患者再入院次數則顯著降低（P ＜0．01）。結論 HtoH的連續護理模式可以顯著改善用藥依從性、再入院率及心髒功能。
목적：탐토의원도가정（HtoH）적련속호리모식대만성심쇠노년환자용약의종성、재입원솔급심장공능개선적영향。방법선취신강지구한、유、합살극족만성심력쇠갈환자64례，장소유환자안년령、성별、민족필배분위2조，즉호사수방조여비수방조。6개월후관찰2조환자용약의종성、재입원솔급심장공능개선정황。결과재비수방조，β수체조체제여경록새진6개월후복용솔현저저우출원시적복용솔（P ＜0．05），기타약물복용솔야유하강추세，단차이무통계학의의（P ＞0．05）；재수방조，출원시화수방6개월후적약물사용솔차이무통계학의의（P ＞0．05）。상비우비수방조，수방조적좌실사혈분수、좌우사혈분수＞0．40적인수유증가추세，좌실서장말기용적칙유하강추세，단차이무통계학의의（P ＞0．05），이환자재입원차수칙현저강저（P ＜0．01）。결론 HtoH적련속호리모식가이현저개선용약의종성、재입원솔급심장공능。
、Objective To investigate HtoH continuous nursing on medication compliance、readmission rate、heart function improvement in elderly patients with old chronic heart failure. Methods 64 Han、Uygur and Kazak patients with chronic heart failure were divided into two groups according to the age、gender and ethnicity.The two groups were nurse follow-up group and non-nurse follow-up group.6 months later、the medication compliance、readmission rate、and heart function improvement were observed in these patients.Results In the non-nurse follow-up group、the utilization rates of β-blockers and hydrochlorothiazide in 6 months were significantly lower than the utilization rates when discharge 、P < 0.05 、、The utilization rates of other drugs showed the downward trend 、but the difference were not statistically significant 、P >0.05、.In the nursing follow-up group、the utilization rates after 6 months and when discharge showed no significant difference 、P >0.05、.Compared with the non-nurse follow-up group、left ventricular ejection fraction and the number of patients with left ventricular ejection fraction in nurse follow-up group showed an increasing trend、the left ventricular end-diastolic volume showed a downward trend、but the difference was not statistically significant 、P >0.05、.However、the number of readmission patients was significantly lower 、P <0.001、.Conclusion Nurse telephone follow-up can significantly improve medication compliance、readmission rate and heart function.
