出院计划在慢性心力衰竭患者护理中的应用及效果评价  

Assessment of the application and impact of discharge planning for patients with Chronic Heart Failure

作　　者：胡永琼[1] 邓云霞[1] 

机构地区：[1]湖北江汉油田总医院护理部,湖北省潜江市433124

出　　处：《中国护理管理》2016年第4期531-534,共4页Chinese Nursing Management

摘　　要：目的 :评价出院计划在慢性心力衰竭患者护理中的应用效果。方法 :将符合纳入标准的84例慢性心力衰竭患者,随机分为干预组和对照组,每组42例(最终每组完成研究各40例)。对照组进行常规护理及出院后的电话回访,干预组在此基础上应用出院计划模式进行护理。比较两组患者出院时及出院后6个月自我护理能力(EHFSCB-9)得分、生活质量(MLHFQ)得分以及出院后6个月患者对延续护理服务满意程度。结果 :出院6个月后,干预组患者自我护理能力得分、生活质量得分、对延续护理服务满意度得分均高于对照组,差异有统计学意义(P<0.05)。结论 :应用出院计划对慢性心力衰竭患者进行延续护理,能提高患者自我护理能力和对延续护理服务的满意度,改善患者生活质量。Objective： To examine the application and impact of discharge planning in the care of patients with Chronic Heart Failure （CHF）. Methods： We recruited 84 patients with CHF in total. We randomly divided them into the treatment group and control group with 42 in each. The patients in both groups （40 in each） had regular nursing care and telephone visits. The patients in the treatment group were further applied a discharge planning. We scrutinized the scores of two groups on the European Heart Failure Self-Care Behaviour Scale 9 （EHFSCB-9） and the Minnesota Living with Heart Failure questionnaire （MLHFQ） at the points of discharge and the six-month after discharge. We also compared the scores of the patient satisfaction of continuing care at the six-month after discharge between two groups. Results： After six months＇ intervention, the scores of the EHFSCB-9, the MLHFQ and patient satisfaction of continuing care in the treatment group were statistically higher than those in the control group （P〈0.05）. Conclusion： The application of the discharge planning in nursing care for patients with CHF could effectively improve patients＇ self-care behaviour, their satisfaction of continuing nursing care and quality of life.

关 键 词：患者出院 出院计划 心力衰竭 慢性心力衰竭 效果评价 

分 类 号：R47[医药卫生—护理学]