出院计划在慢性心力衰竭患者护理中的应用及效果评价.pdfVIP

延续护理 Transitional Care 出院计划在慢性心力衰竭患者护理中的 应用及效果评价 胡永琼 邓云霞 [ 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（P0.05）。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。 [ 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 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2016.04.025 Assessment of the application and impact of discharge planning for patients with Chronic Heart Failure / HU Yongqiong, DENG Yunxia // Nursing Department, Hubei Jianghan Oilfield General Hospital, Qianjiang, Hubei province, 433124 China /// Chinese Nursing Management-2016,16(4): 531-534 [Abstract] 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