Stewart Simon
NHMRC Centre of Research Excellence to Reduce Inequality in Heart Disease & Head, Preventative Health, Baker IDI Heart and Diabetes Institute, PO Box 6492, St Kilda Rd Central, Melbourne, Victoria 8008, Australia.
Curr Heart Fail Rep. 2013 Sep;10(3):227-31. doi: 10.1007/s11897-013-0144-x.
This article examines the role of home versus hospital clinic-based management of heart failure to achieve the best outcomes for affected individuals and their carer/families. It also considers the role of remote management strategies. Overall, the evidence in favor of home-based strategies is quite compelling. However, persistently high levels of heart-failure-related morbidity and mortality, combined with inconsistent application of key components of care, mandate greater efforts to develop more standardized and cost-effective forms of heart failure support services.
本文探讨了在家中与在医院门诊进行心力衰竭管理对患者及其护理人员/家庭实现最佳治疗效果所起的作用。文章还考虑了远程管理策略的作用。总体而言，支持居家策略的证据相当有说服力。然而，心力衰竭相关的发病率和死亡率持续居高不下，再加上护理关键环节的应用不一致，这就要求我们付出更大努力来开发更标准化、更具成本效益的心力衰竭支持服务形式。
