【摘要】 目的探讨不同的出院随访间隔时间对扩张型心肌病预后的影响效果。方法选择2016年1月～2017年12月我院心内科住院治疗的88例扩张型心肌病患者作为研究对象,依据随访间隔时间分为1周组29例、2周组29例、4周组30例,住院期间均给予常规护理,出院后分别间隔1周、2周、4周随访,共12个月,对比各组患者再住院率、服药依从性以及生活质量评分。结果出院12个月后,4周组再住院率为33.20%1,高于1周组的7.20%、2周组的8.50%,差异有统计学意义(P<0.05);1周组与2周组对比,差异无统计学意义(P>0.05)。4周组服药依从性为70.00%,低于1周组的96.55%、2周组的93.10%,差异有统计学意义(P<0.05);1周组与2周组对比,差异无统计学意义(P>0.05)。4周组生活质量评分为(90.70±4.79)分,高于1周组的(70.96±12.68)分、2周组的(69.93±9.84)分,差异有统计学意义(P<0.05);1周组与2周组对比,差异无统计学意义(P>0.05)。结论扩张型心肌病患者出院后,每间隔2周进行1次详细的随访,可提高患者的生活质量、服药依从性,降低再住院率和死亡率,对患者的预后具有积极的影响。更多还原

【Abstract】 Objective To investigate the effect of different discharge follow-up intervals on the prognosis of dilated cardiomyopathy.Methods 88 patients with dilated cardiomyopathy admitted to our department of cardiology from January 2016 to December 2017 were enrolled.According to the interval of follow-up,29 patients in 1 week group,29 patients in 2 weeks group,and 30 patients in 4 weeks group were given routine nursing care during hospitalization.They were followed up for 1 week,2 weeks,and 4 weeks after discharge,for 12 months.The rehospitalization rate,medication adherence,and quality of life scores were compared between groups.Results After 12 months of discharge,the rehospitalization rate in the four-week group was 33.20%1,which was higher than 7.20% in the 1 week group and 8.50% in the 2 weeks group,the difference was statistically significant(P <0.05);There was no significant difference between the 1 week group and the 2 weeks group(P>0.05).The compliance of medication in the 4 weeks group was 70.00%,which was lower than 96.55% in the 1 week group and 93.10% in the 2 weeks group,the difference was statistically significant( P<0.05).The difference between the 1 week group and the 2 weeks group was not statistically significant(P>0.05).The quality of life score in the 4 weeks group was(90.70±4.79),which was higher than that in the 1 week group(70.96±12.68)and the 2 weeks group(69.93±9.84),the difference was statistically significant(P<0.05).There was no significant difference between the week group and the 2 weeks group(P>0.05).Conclusion After the discharge of patients with dilated cardiomyopathy,detailed follow-up at 2 weeks intervals can improve the quality of life,medication compliance,reduction of rehospitalization rate and mortality,and have a positive impact on patients’ good prognosis.更多还原