Stamp Kelly D, Flanagan Jane, Gregas Matt, Shindul-Rothschild Judith
Boston College, School of Nursing, Chestnut Hill, Massachusetts (Drs Stamp, Flanagan, and Shindul-Rothschild); and Research Services, Boston College, Chestnut Hill, Massachusetts (Dr Gregas).
J Nurs Care Qual. 2014 Apr-Jun;29(2):115-23. doi: 10.1097/NCQ.0000000000000042.
In this study of California, Massachusetts, and New York hospitals, 6 factors predicted 27.6% of readmissions for patients with heart failure (HF). We found that higher admissions per bed, teaching hospitals, and poor nurse-patient communication increased HF readmissions. Conversely, the HF readmissions were lower when nurse staffing was greater, more patients reported receiving discharge information, and among hospitals in California. The implications for nursing practice in the delivery of care to patients with HF are discussed.
在这项针对加利福尼亚州、马萨诸塞州和纽约州医院的研究中,6个因素预测了心力衰竭(HF)患者27.6%的再入院情况。我们发现,每张病床的入院人数较多、教学医院以及护患沟通不良会增加HF再入院率。相反,当护士配备更多、更多患者报告收到出院信息以及在加利福尼亚州的医院中时,HF再入院率较低。文中讨论了在为HF患者提供护理时对护理实践的启示。