护士主导的教育对心力衰竭成人住院、再入院、生活质量和成本的影响。系统评价。
The effect of nurse-led education on hospitalisation, readmission, quality of life and cost in adults with heart failure. A systematic review.
机构信息
School of Health Sciences, University of Tasmania, Locked Bag No 5052, Alexandria, NSW 2015, Australia.
School of Health Sciences, University of Tasmania, Locked Bag No 5052, Alexandria, NSW 2015, Australia.
出版信息
Patient Educ Couns. 2018 Mar;101(3):363-374. doi: 10.1016/j.pec.2017.10.002. Epub 2017 Oct 5.
OBJECTIVE
The purpose of this systematic review was to highlight the effect of nurse-led 1:1 patient education sessions on Quality of Life (QoL), readmission rates and healthcare costs for adults with heart failure (HF) living independently in the community.
METHOD
A systematic review of randomised control trials was undertaken. Using the search terms nurse, education, heart failure, hospitalisation, readmission, rehospitalisation, economic burden, cost, expenditure and quality of life in PubMed, CINAHL and Google Scholar databases were searched. Papers pertaining to nurse-led 1:1 HF disease management of education of adults in the community with a history of HF were reviewed.
RESULT
The results of this review identified nurse-led education sessions for adults with HF contribute to reduction in hospital readmissions, reduction in hospitalisation and a cost benefit. Additionally, higher functioning and improved QoL were also identified.
CONCLUSION
These results suggest that nurse-led patient education for adults with HF improves QoL and reduces hospital admissions and readmissions.
PRACTICE IMPLICATIONS
Nurse-led education can be delivered utilising diverse methods and impact to reduce readmission as well as hospitalisation.
目的
本系统评价旨在强调护士主导的 1:1 患者教育对独立居住在社区的成人心力衰竭（HF）患者的生活质量（QoL）、再入院率和医疗成本的影响。
方法
对随机对照试验进行了系统评价。使用 PubMed、CINAHL 和 Google Scholar 数据库中的“护士、教育、心力衰竭、住院、再入院、再入院、经济负担、成本、支出和生活质量”等搜索词进行搜索。审查了与社区中 HF 病史的成人进行的护士主导的 HF 疾病管理和教育相关的论文。
结果
本综述的结果表明，HF 成人的护士主导教育有助于减少住院再入院、减少住院和节省成本。此外，还确定了更高的功能和改善的生活质量。
结论
这些结果表明，HF 成人的护士主导的患者教育可提高生活质量，并减少住院和再入院。
实践意义
护士主导的教育可以利用多种方法进行，并且可以减少再入院和住院。
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