在多学科过渡护理诊所提高心力衰竭患者的生活质量并减少再入院率。
Improving quality of life and decreasing readmissions in heart failure patients in a multidisciplinary transition-to-care clinic.
作者信息
Whitaker-Brown Charlene D, Woods Stephanie J, Cornelius Judith B, Southard Erik, Gulati Sanjeev K
机构信息
University of North Carolina at Charlotte, School of Nursing, College of Health and Human Services, 9201 University City Blvd., Charlotte, NC 28223, USA; Sanger Heart & Vascular Institute's Heart Success Clinic, Carolinas Medical Center-Main, 1000 Blythe Blvd., Charlotte, NC 28203, USA.
University of North Carolina at Charlotte, School of Nursing, College of Health and Human Services, 9201 University City Blvd., Charlotte, NC 28223, USA.
出版信息
Heart Lung. 2017 Mar-Apr;46(2):79-84. doi: 10.1016/j.hrtlng.2016.11.003. Epub 2016 Dec 27.
OBJECTIVES
The purpose was to pilot the feasibility and impact of a 4-week transition-to-care program on quality of life for heart failure patients.
BACKGROUND
The transition from the acute care to the outpatient setting has been shown to be a critical time with heart failure patients.
METHODS
A pre- and post-test design was used. Quality of Life, measured by the Minnesota Living with Heart Failure Questionnaire, and hospital readmissions were the outcomes. A convenience sample of 50 persons was recruited into a multidisciplinary transition-to-care program for heart failure patients following hospitalization. Thirty-six (72%) completed the study.
RESULTS
There was a significant improvement in quality of life. Men reported greater improvement in physical symptoms and less emotional distress when compared to women. Only 2 participants were readmitted within 30 days.
CONCLUSIONS
Study findings support improved quality of life and decreased readmission rates following a multidisciplinary transition-to care program for heart failure patients.
目的
本研究旨在试行一项为期4周的过渡护理计划对心力衰竭患者生活质量的可行性及影响。
背景
从急性护理过渡到门诊治疗阶段，对心力衰竭患者来说是一个关键时期。
方法
采用前后测设计。以明尼苏达心力衰竭生活问卷衡量生活质量，并将再次入院情况作为研究结果。选取50名便利样本，纳入针对心力衰竭患者住院后开展的多学科过渡护理计划。36人（72%）完成了研究。
结果
生活质量有显著改善。与女性相比，男性在身体症状方面改善更大，情绪困扰更少。仅2名参与者在30天内再次入院。
结论
研究结果支持多学科过渡护理计划可改善心力衰竭患者的生活质量并降低再入院率。
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