行为管理降低慢性心力衰竭患者再住院率  

Decreasing hospital readmission rate in patients with chronic heart failure through behavior management training

作　　者：陆琼芳[1] 罗银秋[1] 仇艺晴 梁茜[1] 许兆延[1] 廖珊[1] 欧碧英[1] 

机构地区：[1]佛山市第一人民医院心血管内科,广东佛山528000

出　　处：《护理学杂志》2014年第9期11-13,共3页

基　　金：佛山市医学类科技攻关项目(201208078)

摘　　要：目的探讨行为管理降低慢性心力衰竭患者再住院率的效果。方法将189例慢性心力衰竭患者随机分为对照组94例和干预组95例。对照组采用常规护理及出院后电话随访,干预组在此基础上实施行为管理,包括制定随访计划、强化教育内容、培训自我行为能力、监督落实效果等。1年后比较两组患者的再住院率、再住院平均住院日和病死率。结果干预组再住院率、再住院平均住院日分别为23.16%、(8.67±4.62)d,对照组分别为39.36%、(12.47±4.76);两组比较,差异有统计学意义(P<0.05,P<0.01)。两组病死率比较,差异无统计学意义(P>0.05)。结论行为管理可促使慢性心力衰竭患者改变不良生活习惯,提高自我行为管理能力,降低再住院率,提高生活质量。Objective To determine whether a behavior management training program decreases chronic heart failure （CHF） hospital readmissions over a one-year period.Methods One hundred and eighty-nine patients hospitalized with CHF at increased risk of hospital readmission were randomized to a control group of 94 and an intervention group of 95.Patients in the control group were given conventional nursing care and telephone follow-up after discharge,while their counterparts in the intervention group received behavior management training including such measures as developing follow-up plan,strengthening education contents,cultivating self-management behaviors,and monitoring implementation effect.The number of CHF hospital admissions and deaths over 1 year,as well as length of hospital stay were compared.Results Significant differences were found in hospital readmission rates （23.16% in the intervention group vs.39.36% in the control group） and in length of hospotal stay（8.67±4.62 d vs.12.47± 4.76 d） （P〈0.05,P〈0.01）.There was no significant difference in mortality between the two groups（P〉0.05）.Conclusion Behavior management training for CHF patients can alter their unhealthy lifestyles and habits,improve their self-management ability,decrease hospital readmission,and thus improve quality of life.

关 键 词：慢性心力衰竭 行为管理 再住院 电话随访 病死率 

分 类 号：R473.5[医药卫生—护理学] R541.61[医药卫生—临床医学]