延续护理对老年慢性心力衰竭患者病情控制和生活质量影响.docVIP

延续护理对老年慢性心力衰竭患者病情控制和生活质量影响 　　[摘要]目的 探讨延续护理对老年慢性心力衰竭（CHF）患者病情控制和生活质量的影响。方法 2013年2月～2015年2月本院收治的老年CHF患者112例，按照入院先后顺序分为观察组和对照组，各56例。对照组接受循环内科常规西药与护理，观察组在此基础上接受出院后12个月的定期电话随访及家庭随访，比较两组患者的再住院率、死亡率及生活质量变化情况。结果 观察组患者再住院率为32.1%，明显低于对照组的62.5%，差异有统计学意义（P0.01）。观察组患者死亡率为3.6%，明显低于对照组的10.7%，差异有统计学意义（P0.05）。两组生活质量较入组时均明显改善（P0.05），且观察组改善效果更显著（P0.05）。结论 延续护理可以有效地控制老年CHF患者的病情进展，减少再住院率，显著提高其生活质量。 　　[关键词]慢性心力衰竭；延续护理；预后；生活质量 　　[中图分类号] R541.6+1 [文献标识码] A [文章编号] 1674-4721（2017）03（b）-0179-04 　　[Abstract]Objective To explore the impact of extended care on the disease control and life quality in elderly patients with chronic heart failure （CHF）.Methods 112 elderly patients with CHF from February 2013 to February 2015 in our hospital were divided into observation group and control group，according to their hospital admission sequence，56 cases in each groups.Patients in observation group were added regular telephone follow-up and family follow-up on the basis of that with in 12 months，and patients in control group were received cycle of internal conventional western medicine and nursing.The readmission rate，mortality rate and changes of life quality of patients in two groups were compared.Results The readmission rate in observation group was 32.1%，obvious lower than that of 62.5% in control group，and the difference was significant（P0.01）.The mortality rate in observation group was 3.6%，obvious lower than that of 10.7% in control group，and the difference was significant（P0.05）.The life quality of the two groups were improved compared significantly with pre-treatment（P0.05），but the improvement effects in observation group were more obvious（P0.05）.Conclusion The extended care can effectively control the progression of CHF in elderly patients，reduce the readmission rate，and obvious improve the life quality. 　　[Key words]Chronic heart failure；Extended care；Prognosis；Life quality 　　慢性心力衰竭（chronic heart failure，CHF）是各?N心血管疾病的终末期改变和最主要的死因[1]，是21世纪心血管领域的两大难题之一。随着现代人饮食生活方式的改变、心血管疾病发病率的增加、人口老龄化趋势的加