基于家庭护理评估工具的出院服务在老年心力衰竭患者中的应用  

Application of a discharge service based on a home care assessment tool in older patients with heart failure

作　　者：李婉玲 郭玉丽 马景莲 郭静 李芬芬 延芝丽 段欣红 Li Wanling;Guo Yuli;Ma Jinglian;Guo Jing;Li Fenfen;Yan Zhili;Duan Xinhong(Department of Geriatrics,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院老年科,湖北武汉430030 [2]山西白求恩医院(山西医学科学院同济山西医院),山西医科大学第三医院 [3]山西中医药大学护理学院 [4]山西医科大学护理学院

出　　处：《护理学杂志》2024年第6期105-109,共5页Journal of Nursing Science

基　　金：山西省卫生健康委科研课题(2022139);中华医学会杂志社护理学科研究课题(CMAPH-NRP2021002)。

摘　　要：目的 探讨基于家庭护理评估工具的出院服务对老年心力衰竭患者的应用效果。方法 将老年心力衰竭患者分为对照组(50例)和研究组(50例)。对照组采用常规出院准备服务,研究组实施基于家庭护理评估工具的出院准备服务。比较两组患者出院准备度、出院指导质量总分及出院后1个月、3个月的非计划再入院率。结果 对照组50例、研究组48例完成研究。研究组出院准备度和出院指导质量评分显著高于对照组,出院3个月的非计划再入院率显著低于对照组(均P<0.05)。结论 采取基于家庭护理评估工具的出院准备服务,可提高老年心力衰竭患者出院准备度和出院指导质量,降低非计划再入院率。Objective To explore the application effect of a discharge service based on a home care assessment tool in older patients diagnosed with heart failure.Methods Older patients with heart failure were divided into a control group(n=50)and an observation group(n=50).The control group received routine discharge preparation services,while the observation group received a discharge preparation service based on a home care assessment tool.The discharge readiness,quality of discharge guidance,and unplanned readmission rates at 1 month and 3 months after discharge were compared between the two groups.Results A total of 50 cases in the control group and 48 cases in the observation group completed the whole study.The observation group demonstrated significantly higher levels of discharge readiness and quality of discharge guidance compared to the control group(P<0.05).Additionally,the unplanned readmission rate at 3 months after discharge was significantly lower in the observation group than that in the control group(P<0.05).Conclusion Implementingthe discharge preparation service based on the home care assessment tool can enhance discharge readiness and improve the quality of discharge guidance in older heart failure patients,ultimately reducing unplanned readmission rates.

关 键 词：老年人 心力衰竭 家庭护理评估工具 出院准备服务 出院准备度 出院指导质量 再入院 延续护理 

分 类 号：R473.5[医药卫生—护理学]