【摘要】 目的探讨改善慢性心力衰竭(CHF)患者出院后的有效家庭护理模式。方法对2007年1月-2009年1月出院病人159例慢性心力衰竭患者入选,并分为两个组,电话和家庭随访组90例,常规护理组69例给予常规出院指导。比较两组患者出院后家庭继续治疗、再次住院及死亡情况的跟踪随访。结果两组服用ACEI(或ARB)制剂比例(71.1%vs53.6%,P0.02),β受体阻滞剂(63.3%vs44.9%,P0.02),两组的心衰再次住院情况(38.8%vs56.5%,P0.03);总死亡情况(13.3%vs26%,P0.04),心源性死亡情况(11.1%vs24.6%,P0.03)。结论以护理为主体的电话和家庭随访模式的护理,对慢性心力衰竭患者出院后家庭指导,能提高CHF患者依从性,减少再住院率和死亡率。更多还原

【Abstract】 Objective Effect family nursing mode improvement of chronic heart failure(CHF) after their leaving hospital is discussed.Methods Selecting 159 cases of CHF patients of hospitalization from January 2007 to January 2009,separate them as telephone and home follow-up group(THFG) and normal nursing group(NNG).90 cases of THFG AND 69 cases of NNG are given normal instruction before leaving hospital.Tracking follow-up of continual treatment at home,admission again and death situation of two groups are compared.Results Two groups take ACEI or ARB preparation proportion(71.1% vs53.6%,P0.02);βblocker(63.3% vs44.9%,P0.02);situation of admission again after having heart failure of two groups;the total death situation(13.3% vs26%,P0.04);death situation of cardiogenic(11.1% vs24.6%,P0.03).Conclusions Telephone and home follow-up mode focusing on nursing and home instruction to CHF patients after their leaving hospital can improve their compliance,reducing the rate of admission again and rate of death.更多还原