CAJ | 학술논문

目的：探讨出院回家过渡期管理方案在慢性心力衰竭( CHF)患者中的应用效果。方法选取2013年1月—2014年2月200例CHF患者作为研究对象,采用随机数字表法将患者分为观察组和对照组,每组各100例。观察组患者在出院-回家过渡期采用无缝隙护理管理模式,对照组患者实施常规健康教育。出院后4个月对两组患者进行随访,比较两组患者出院后的再入院、按时复诊、呼吸训练、规律运动及按时服药的情况,并比较两组患者自我护理行为的各项指标评分。结果观察组患者出院后自我护理行为达到高、中、低水平的分别为54,32,14例,优于对照组,差异有统计学意义( Hc =10773,P<0.05)。观察组患者的再入院率与按时复诊率分别为7%,73%,优于对照组,差异有统计学意义(χ2值分别为5.351,4.935；P<0.05)。观察组患者呼吸的训练情况、按时服药情况和规律运动的情况也优于对照组,差异有统计学意义(χ2值分别为4.863,5.482,6.571；P<0.05)。结论 CHF患者出院-回家过渡期采用无缝隙护理管理模式能够显著提高患者出院后的自我恢复能力,可在临床上进一步推广和使用。
목적：탐토출원회가과도기관리방안재만성심력쇠갈( CHF)환자중적응용효과。방법선취2013년1월—2014년2월200례CHF환자작위연구대상,채용수궤수자표법장환자분위관찰조화대조조,매조각100례。관찰조환자재출원-회가과도기채용무봉극호리관리모식,대조조환자실시상규건강교육。출원후4개월대량조환자진행수방,비교량조환자출원후적재입원、안시복진、호흡훈련、규률운동급안시복약적정황,병비교량조환자자아호리행위적각항지표평분。결과관찰조환자출원후자아호리행위체도고、중、저수평적분별위54,32,14례,우우대조조,차이유통계학의의( Hc =10773,P<0.05)。관찰조환자적재입원솔여안시복진솔분별위7%,73%,우우대조조,차이유통계학의의(χ2치분별위5.351,4.935；P<0.05)。관찰조환자호흡적훈련정황、안시복약정황화규률운동적정황야우우대조조,차이유통계학의의(χ2치분별위4.863,5.482,6.571；P<0.05)。결론 CHF환자출원-회가과도기채용무봉극호리관리모식능구현저제고환자출원후적자아회복능력,가재림상상진일보추엄화사용。
Objective To explore the application effect of discharge-home transition management scheme in patients with chronic heart failure. Methods From January 2013 to February 2014, 200 patients with chronic heart failure were selected and randomly divided into the observation group and the control group, with 100 cases in each group. The observation group were given the discharge-home transition management scheme, while the control group was used the routine health education. After 4-month follow-up, rate of re-admission and regular hospital return visit, breath training, regular exercise, regular medication and other nursing indicators were compared between the two groups. Results In the observation group, 54, 32 and 14 cases had high, moderate and low level of self-care, which was significantly better than those of the control group (Hc =10773,P<0.05). There-admissionrateandregularhospitalreturnvisitratewere7% and73%,which were significantly higher than those of the control group (χ2 =5. 351, 4. 935, respectively;P < 0. 05). The breath training, regular exercise and regular medication were also significantly better in the observation group (χ2 = 4. 863, 5. 482, 6. 571, respectively;P < 0. 05). Conclusions Discharge-home transition management scheme in patients with chronic heart failure can improve patients′ recovery capability, which can be further extended and used in clinical practice.