Albert N M, Young J B
Kaufman Center for Heart Failure, Cleveland Clinic Foundation, OH 44195, USA.
Cleve Clin J Med. 2001 Jan;68(1):53-62; discussion 63-4. doi: 10.3949/ccjm.68.1.53.
Patients with heart failure do better if they are treated in a formal heart failure disease-management program than if they receive standard care: their hospitalization rates and costs of treatment are lower, and their functional status is higher. The programs feature close coordination between primary care givers, subspecialty consultants, and nurses with specialty training in the nuances of heart failure management. Aggressive medical therapy must be coupled with patient education and rapid response to early identified problems. This article reviews the principles of heart failure disease-management programs and cites evidence that they are beneficial.
与接受标准治疗相比，心力衰竭患者若在正式的心力衰竭疾病管理项目中接受治疗，效果会更好：他们的住院率和治疗成本更低，功能状态更高。这些项目的特点是初级护理人员、专科顾问和接受过心力衰竭管理细微差别专业培训的护士之间密切协作。积极的药物治疗必须与患者教育以及对早期发现问题的快速反应相结合。本文回顾了心力衰竭疾病管理项目的原则，并引用了表明它们有益的证据。
