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探讨护理干预对慢性心力衰竭患者复发再入院的影响

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目的 探讨护理干预对慢性心力衰竭患者复发再入院的影响分析。方法 选取泉州市第一医院2021年3月至2022年2月收治慢性心力衰竭患者180例,以随机数表法分成两组,每组各90例,对照组以常规护理干预,研究组以综合针对性健康延续性护理干预。比较两组护理前后患者对慢性心力衰竭相关疾病知识掌握评分、对护理指导及医嘱的依从性评分,随访1年统计复发再入院率并统计患者对护理的满意度。结果 两组护理后对于疾病知识、用药知识、饮食知识、慢性心力衰竭诱发并发症及其应对方式知识、心脏康复知识等慢性心力衰竭相关疾病知识掌握评分及对饮食、用药、运动健康、生活健康、定期复查等护理指导及医嘱的依从性评分均较护理前提高,且研究组高于对照组,差异有统计学意义(P<0。05)。研究组患者随访1年复发再入院率低于对照组,而患者对于护理的总满意度高于对照组,差异有统计学意义(P<0。05)。结论 在慢性心力衰竭患者中,实施以综合针对性健康延续性护理干预,可显著提升患者对疾病相关知识的掌握能力,改善患者对于护理指导及医嘱的依从性,从而降低复发再入院率,获得患者的一致满意,效果理想。
Exploring the impact of nursing intervention on the readmission of chronic heart failure patients with relapse
Objective To explore the impact of nursing intervention on the readmission of chronic heart failure patients with relapse.Methods A total of 180 patients diagnosed with chronic heart failure admitted to Quanzhou First Hospital(from March 2021 to February 2022)were selected as the study subjects.They were divided into two groups of 90 patients each using a random number table method.One group received routine nursing intervention as the control group,while the other group received comprehensive-targeted health continuity nursing intervention as the study group.The scores of two groups of patients on their mastery of knowledge about chronic heart failure-related diseases,and compliance with nursing guidance and medical orders before and after nursing care was compared.Followed up for 1 year to calculate the recurrence readmission rate and patient satisfaction with nursing care.Results After nursing,the scores of disease knowledge,medication knowledge,diet knowledge,chronic heart failure-induced complications and coping mode knowledge,cardiac rehabilitation knowledge and the scores of compliance with nursing instructions and medical orders such as diet,medication,exercise health,life health and regular review were improved in both groups compared with those before nursing,and the scores of the study group were higher than those of the control group.The difference was statistically significant(P<0.05).The recurrence and readmission rates of patients in the study group after one year of follow-up were lower than those in the control group,while the overall satisfaction rate of patients with nursing care was higher than that in the control group,with statistically significant differences(P<0.05).Conclusion In patients with chronic heart failure,implementing comprehensive and targeted health continuity nursing interventions can significantly enhance their ability to master disease-related knowledge,improve their compliance with nursing guidance and medical orders,significantly reduce the rates of relapse and readmission,gain consistent patient satisfaction,and achieve ideal results.

Nursing interventionChronic heart failureRelapse and readmissionMastery of disease knowledge

黄婉治

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福建省泉州市第一医院心内科,福建泉州 362000

护理干预 慢性心力衰竭 复发再入院 疾病知识掌握

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(12)