院外护理干预对慢性心力衰竭患者遵医行为及再入院率的影响  

Influence of out-of-hospital intervention on readmission of patients with chronic heart failure

作　　者：金海君[1] 宋冬梅[1] 魏芳[1] 陈宏伟[1] 

机构地区：[1]山东省立医院心内科,济南250021

出　　处：《中国实用护理杂志（下旬版）》2008年第2期16-18,共3页Chinese Journal of Practical Nursing

摘　　要：目的探讨院外护理干预对慢性心力衰竭患者遵医及再入院率的影响。方法选择93例慢性心力衰竭患者作为研究对象，随机分为研究组47例和对照组46例，在住院期间均给予系统的健康教育，出院时给予健康教育指导，并且患者表示掌握了指导内容。出院后对研究组进行院外护理干预，而对照组不施加任何措施。比较2组患者的遵医率及再入院率。结果通过对研究组患者院外护理干预，遵医率提高，再入院率降低，2组再入院率比较差异有统计学意义，P〈0．01。结论由护士开展院外护理干预能促进患者的遵医行为，提高生活质量，降低患者再入院率。Objective To study the influence of out-of-hospital intervention on readmission of patients with chronic heart failure. Methods We randomized 93 patients with chronic heart failure into the study group（47 patients） and the control group（46 patients ）.We supplied systemic health education during their hospital stay and made sure that they had mastered all the education content. We provided out-of- hospital nursing intervention to the study group and no intervention for the control group. Then we compared the readmission rate and medical compliance between the two groups. Results The patients compliance improved and the readmmission rate decreased after nursing intervention in the study group and were apparently different from those in the control group（P 〈0.01 ）. Conclusion Out-of-hospital nursing intervention could promote patients compliance, improve their life quality and reduce the readmission rate.

关 键 词：院外护理 干预 慢性心力衰竭 再入院 

分 类 号：R541.61[医药卫生—心血管疾病] R473.5[医药卫生—内科学]