慢性心力衰竭患者康复管理与预后关系分析.docVIP

慢性心力衰竭患者康复管理与预后关系分析 　　【摘要】目的:探讨慢性心力衰竭(CHF)患者的管理模式对疾病预后的影响。方法:采集既往曾有反复住院史的慢性心衰患者36例,其中男性24例,女性12例,平均年龄61±12岁。心功能III级21例,IV级15例。在规范心衰一般治疗和药物治疗的同时,对患者进行有效的教育和沟通指导,让病人学会自我管理。结果:观察1年,患者的总住院次数、总住院日、平均每次住院日、急诊入院次数均下降,生活质量明显提高。结论:建立有效的康复管理模式对慢性心力衰竭患者的预后有着很重要的意义,值得进一步探索和推广。? 　　【关键词】慢性心力衰竭;心脏康复管理? 　　doi:10.3969/j.issn.1006-1959.2010.08.262文章编号:1006-1959(2010)-08-2235-01? 　　 　　The analysis of the relationship between the chronic heart failure patients management and prognosisMA Ya-Tao,QIN Shu-QinDepartment of Cadiology,Gu Shu Yuan Hospital of Jincheng Coal Mining Group Co,Ltd,Shanxi 048006,China? 　　【Abstract】Objective:Explore the influence of the management of patients with chronic heart failure(CHF) on prognosis of the disease.Method:Collect 36 cases of patients with chronic heart failure that have a repeated hospitalization history.24 cases were males and 12 females with a mean age of 61±12.21 cases of cardiac function grade Ⅲ and 15 cases of cardiac function grade Ⅳ.During the standard heart failure therapy and drug therapy,give patients effective education and communication guidance.So that patients learn to self-management.Result:The patients total hospitalization、total length of stay、 average length of stay、 emergency incident rate are decreased during the one year.and the quality of life are markedly improved.Conclusion:To establish an effective management model for the chronic heart failure patients have a very important significance,it is worthy of further exploration and promotion.? 　　【Key word】Chronic heart failure;Cardiac rehabilitation management 　　 　　1.资料与方法? 　　 　　1.1一般资料:以2008年6月为时间切入点,选取之前反复因心力衰竭住院的患者36例,其中男性24例,女性12例,平均年龄61±12岁。心功能III级21例,IV级15例。病因分析缺血性心肌病10例,高血压性心脏病16例,心脏瓣膜病6例,扩张性心肌病2例,非致密性心肌病1例,房间隔缺损1例。观察前1年总住院次数3.58±1.44次,总住院天数62.89±24.50天,平均每次住院天数17.72±1.91日,总急诊入院次数1.31±1.14次。? 　　1.2方法:对36例CHF患者采取药物治疗和一般护理的同时,实施健康管理模式。包括对患者病情、个人文化程度、家庭生活情况评估;确立主管医生和护士个别生活指导和用药指导;开展心力衰竭自我护理知识讲堂;建立病人健康档案;为每一个出院病人量身定做好院外服药方案和注意事项;建立回访记录,电话或门诊指导药物调整,让患者学会和掌握自我管理方法