CAJ | 학술논문

目的探索体质量管理干预对慢性心力衰竭(congestive heart failure,CHF)患者再入院率的影响.方法采用单盲、随机对照研究.将66例心功能Ⅲ级的CHF患者随机分为干预组32例和对照组34例.对照组接受常规出院指导和跟踪干预,干预组接受体质量管理干预,时间为出院后6个月.比较2组患者的体质量管理能力及半年内因心衰再入院次数.结果与对照组比较,干预组患者的体质量监测维度、体质量管理相关的知识、信念与行为维度得分明显提高,而对照组仅在行为维度有所改善；半年内干预组因心衰再入院次数较对照组明显减少.结论体质量管理干预可明显提高CHF患者的体质量管理能力,并降低因心功能恶化的再入院次数.
목적 탐색체질량관리간예대만성심력쇠갈(congestive heart failure,CHF)환자재입원솔적영향.방법 채용단맹、수궤대조연구.장66례심공능Ⅲ급적CHF환자수궤분위간예조32례화대조조34례.대조조접수상규출원지도화근종간예,간예조접수체질량관리간예,시간위출원후6개월.비교2조환자적체질량관리능력급반년내인심쇠재입원차수.결과 여대조조비교,간예조환자적체질량감측유도、체질량관리상관적지식、신념여행위유도득분명현제고,이대조조부재행위유도유소개선；반년내간예조인심쇠재입원차수교대조조명현감소.결론 체질량관리간예가명현제고CHF환자적체질량관리능력,병강저인심공능악화적재입원차수.
Objective To explore the impact of intervention of weight management (WM)on readmission rate of patients with congestive heart failure(CHF).Methods sixty-six CHF patients were divided into the control group(34 cases)and the intervention group(32 cases).The patients in the intervention group received the weight management intervention for 6 months after discharge,while the control group was carried on the conventional education and follow-up.The ability of WM and readmission rate of patients due to onset of CHF were compared between the two groups.Results Six months after the intervention,significant differences were found on the scores of weight monitoring,WM related-knowledge,belief and practice in the intervention group,but only WM related-practice was improved in the control group.The readmission rote due to onset of CHF was reduced in the intervention group.Conclusions WM intervention could significantly improve the ability of WM and reduce readmission rate due to CHF onset of CHF patients.