Effects of outhospital disease management on the outcome of patients with chronic heart failure
-
摘要: 目的:探讨院外管理模式对慢性心力衰竭(心衰)患者预后的影响。方法:入选216例我院住院心衰患者,根据患者意愿分为:管理组和非管理组;管理组患者出院后进行以下管理方式:心衰门诊随访结合电话随访,并行心衰健康教育;非管理组患者不对患者进行上述管理;于入组后10~13个月进行两组结果比较,分析两组患者药物依从性、疾病自我管理意识、生活质量改善、再住院率、住院时间及病死率的关系。结果:管理组患者药物依从性、疾病自我管理意识及生活质量改善均显著高于非管理组;管理组患者再住院率及住院时间显著低于非管理组;两组患者病死率比较差异无统计学意义。结论:对心衰患者院外进行门诊随访结合电话随访,并行心衰健康教育的管理模式可以调高患者药物依从性,增强疾病自我管理意识,改善生活质量,降低心衰患者的再入院率及住院时间。Abstract: Objective:To review outhospital disease management on the outcome of patients with chronic heart failure(CHF).Method:A total of 216 hospitalized patients with CHF were divided into two groups.In interventional group,patients received heart failure clinic,telephone follow-up and health education during the outhospitalization.In conventional group,patients received no special management during the follow-up.Patients from both groups were followed for 10 to 13months.Medication compliance,disease self-management,quality of life,median length of hospital stay,readmission rate,and mortality rate were compared between two groups.Result:The medication compliance,the disease selfmanagement,the quality of life in the interventional group were significantly higher than those in the conventional group.The median length of hospital stay,readmission rate in the interventional group were significantly lower than those in the conventional group.But the mortality rate was not significant between the two groups.Conclusion:The integrated disease management program with telephone and health education follow-up carried out by heart failure clinic can improve medication compliance,disease self-management and quality of life.Furthermore it reduces the median length of hospital stay and the readmission rate.
-
Key words:
- chronic heart failure /
- disease management /
- prognosis
-
-
[1] 中华医学会心血管病学分会.2014年中国慢性心力衰竭诊断治疗指南[J].中华心血管病杂志,2014,42(2):98-122.
[2] ALLA F,BRIANSON S,GUILLEMIN F,et aI.Self-rating of quality of life provides additional prognosic information in heart failure.Insights into the EPICAL study[J].Eur J Heart Fail,2002,4:337-343.
[3] GAMBETTA M,DUNN P,NELSON D,et aI.Impact of the implementation of teIemanagement on a disease management program in an elderly heart failure cohort[J].Prog Cardiovasc Nurs,2007,22:196-200.
[4] 范惠华,史浩颖,金炜,等.三级医院心力衰竭门诊管理方案对患者预后的影响[J].中华心血管病杂志,2010,38(7):592-596.
[5] 刘铭雅,李云婧,朱伟,等.强化门诊随访对心力衰竭患者预后及依从性的影响[J].中华心血管病杂志,2010,38(7):588-591.
[6] 汪晓洲,徐效龙.家庭自我监测在慢性心力衰竭患者管理中的应用价值[J].临床心血管病杂志,2014,30(2):174-176.
-
计量
- 文章访问数: 90
- PDF下载数: 415
- 施引文献: 0
下载: