多学科协作动态容量管理预防慢性心力衰竭患者非计划再入院的效果分析  

Effect of prevention of unscheduled readmission of patients with chronic heart failure:multidiscipline-based dynamic volume management

作　　者：俞剑东[1] 郁艳梅[1] 陈丽华[1] 雷晓玲[1] Yu Jiandong;Yu Yanmei;Chen Lihua;Lei Xiaoling(Nantong University Hospital,Nantong,226001,China)

机构地区：[1]南通大学附属医院,江苏南通226001

出　　处：《现代临床护理》2023年第3期15-20,共6页Modern Clinical Nursing

基　　金：南通市科学技术局项目,项目编号为MS12018018。

摘　　要：目的将多学科动态容量管理策略应用于慢性心力衰竭患者并评价其效果。方法选择2020年1月至12月在本院心血管内科住院的120例慢性心力衰竭(chronic heart failure,CHF)患者为研究对象,病区一的60例患者为观察组,病区二的60例设为对照组。对照组实施常规健康教育,观察组实施多学科协作的动态容量管理。干预时间6个月。比较干预前后两组患者限钠饮食行为、心功能、生活质量和再入院率、低钠血发生率的差异。结果干预后观察组患者的限钠饮食行为、心功能和生活质量优于对照组,再入院率低于对照组,两组比较,差异有统计学意义(均P<0.05)。结论实施多学科慢性心力衰竭患者动态容量管理可提高患者限钠饮食依从性,可改善患者的心功能、生活质量,从而降低非计划再入院率。Objective To evaluate the effect of multidiscipline-based dynamic volume management in managing patients with chronic heart failure.Methods A total of 120 patients with chronic heart failure hospitalised in our hospital between January and December 2020 were selected as the research subjects in this study.Sixty patients from Ward I were assigned as a control group and another 60 from Ward II as an observation group.The former were treated with routine health education and the latter with multidiscipline-based dynamic volume management for 6 months.The two groups were compared in terms of compliance with sodium-restricted diet,cardiac function,quality of life,readmission rate and incidence of hyponatremia before and after 6 months of intervention.Results Six months after intervention,the observation group showed significantly better than those of control group in compliance with sodium-restricted diet,heart function and quality of life(all P<0.05).Conclusion Multidiscipline-based dynamic volume management can enhance the compliance of patients with chronic heart failure in sodium-restricted diet,improve cardiac function and quality of life,therefore reduce the rate of unscheduled readmission.

关 键 词：多学科协作 动态容量管理 慢性心力衰竭 再入院率 限钠饮食行为 微信平台 

分 类 号：R473.5[医药卫生—护理学]