Hill Catherine A
Texas Woman's University, Dallas, TX, USA.
Crit Care Nurs Q. 2009 Apr-Jun;32(2):106-11. doi: 10.1097/CNQ.0b013e3181a27ccd.
Most patients with heart failure (HF) respond within a matter of hours to days to available medical treatments. Nursing's current challenge in HF inpatient care is their short length of stay and content dense patient education needs. Only 54% of US hospitalized HF patients received all HF-1 mandated discharge education components. By using nursing evidence and adult learning principles, we can transform HF-1 topic descriptions into a "workable" plan for our newly stable HF patients. Pragmatically viewed, we need to turn the 5 key areas upside down to meet our HF patient's needs during early hospitalization: (1) recognizing symptoms, (2) pacing rest and exercise, (3) daily weights, (4) restricting sodium and fluids, and (5) managing medications. This "organizing" issue is important to our success and costly to all those who accepted the published order as prescriptive for their video, audio, and printed discharge education materials.
大多数心力衰竭（HF）患者在数小时至数天内对现有的药物治疗产生反应。目前，护理在HF住院患者护理中的挑战在于患者住院时间短，以及患者教育需求内容密集。在美国，只有54%的住院HF患者接受了所有HF-1规定的出院教育内容。通过运用护理证据和成人学习原则，我们可以将HF-1主题描述转化为针对新病情稳定的HF患者的“可行”计划。从实际角度看，我们需要颠倒这5个关键领域，以满足HF患者早期住院期间的需求：（1）识别症状，（2）安排休息和锻炼节奏，（3）每日称重，（4）限制钠和液体摄入，以及（5）管理药物。这个“组织”问题对我们的成功很重要，对于所有将已发布的顺序视为其视频、音频和印刷出院教育材料的规范性要求的人来说，成本也很高。
