Objective To explore the causes and influencing factors of multiple unplanned admissions within 1 year in pa-tients with heart failure(HF).Methods A total of 498 patients with HF admitted to the Department of Cardiology of the Sixth People's Hospital of Nantong from January 2020 to October 2022 were selected by convenience sampling method to conduct a retrospective questionnaire survey.The influencing factors of unplanned admission within 1 year were investigated by propensity score matching(PSM).Then,the purpose sampling method was used to select patients with multiple unplanned admissions within a year from February to July 2022 in the Sixth People's Hospital of Nantong for semi-structured inter-views,and the combination of qualitative and quantitative methods was used to explore the reasons for multiple unplanned admissions.Results Multivariate analysis of logistic regression model showed that age(β=0.036,OR=1.036,95％CI:1.007-1.067),hospital readmission within 90 d(β=1.739,OR=5.694,95％CI:2.615-12.402),history of atrial fibrillation(β=0.644,OR=1.943,95％CI:1.158-3.259),chronic kidney disease(β=1.052,OR=2.863,95％CI:1.660-4.939),chron-ic obstructive pulmonary disease(β=0.998,OR=2.712,95％CI:1.488-4.944),NYHA grade≥ Ⅲ(β=1.325,OR=3.769,95％CI:2.230-6.352),hemoglobin＜110 g/L(β=1.268,OR=3.555,95％CI:2.008-6.294)and ≥7 kinds of medi-cation(β=1.034,OR=2.814,95％CI:1.657-4.777)were independent risk factors for multiple unplanned admissions within 1 year in patients with heart failure(P＜0.05).The qualitative study showed that inadequate self-efficacy,inadequate continuous management and medical service utilization disorders were the main reasons for multiple hospital admissions.Conclusion HF patients have a high rate of multiple un-planned admissions within one year.Clinical medical staff should pay attention to early unplanned admissions,strengthen self-management of patients,and strengthen the management of patients'comorbidities and medication in combination with multiple disciplines to promote the continuity of continuous care,further improve the accessibility of medical services,and reduce the readmission rate of patients.
维普
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