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充血性心力衰竭患者的患者和照护者教育水平与再入院率和死亡率。

Patient and caregiver education levels and readmission and mortality rates of congestive heart failure patients.

机构信息

Cardiac Rehabilitation and Heart Failure Programs, King Abdullah Medical City, Makkah, Saudi Arabia.

出版信息

East Mediterr Health J. 2018 Jun 25;24(4):345-350. doi: 10.26719/2018.24.4.345.

DOI:10.26719/2018.24.4.345
PMID:29972228
Abstract

BACKGROUND

Despite evidence that effective family support improves health behaviour and outcomes, the nature of the correlation between congestive heart failure (CHF) outcome and caregiver contribution has not been well studied.

AIM

This single centre pilot study aimed to determine epidemiological correlations between education level and hospital readmission and mortality rates of CHF patients in a nonwestern country population.

METHODS

The study was performed in King Abdullah Medical City, Makkah, Saudi Arabia from February 2015 to February 2016, and included 167 consecutive patients enrolled in a CHF management registry. Data on the education levels of patients and their caregivers were collected, and patient outcomes in high education level (HEL) and low education level (LEL) groups were compared.

RESULTS

Of 167 patients, 101 completed 12 months of follow-up. The mean age was 58 (13.4) years and 80% were men; 87% were Saudi nationals. The HEL group comprised 42 (42%) patients. There were no significant differences in the mortality (3 vs 2%) or readmission rate (18 vs 19%) between the LEL and HEL patients, and 29.6% of LEL patients had caregivers with an LEL.

CONCLUSION

The education levels of CHF patients and caregivers were not correlated with readmission or mortality rates.

摘要

背景

尽管有证据表明有效的家庭支持可以改善健康行为和结果,但充血性心力衰竭(CHF)结局与护理人员贡献之间的相关性的性质尚未得到很好的研究。

目的

这项单中心试点研究旨在确定非西方国家人群中 CHF 患者的教育水平与住院再入院率和死亡率之间的流行病学相关性。

方法

该研究于 2015 年 2 月至 2016 年 2 月在沙特阿拉伯麦加的阿卜杜拉国王医疗城进行,纳入了 167 例连续登记的 CHF 管理患者。收集了患者及其护理人员的教育水平数据,并比较了高教育水平(HEL)和低教育水平(LEL)组患者的结局。

结果

在 167 例患者中,有 101 例完成了 12 个月的随访。平均年龄为 58(13.4)岁,80%为男性;87%为沙特国民。HEL 组包括 42(42%)例患者。LEL 和 HEL 患者的死亡率(3%比 2%)或再入院率(18%比 19%)无显著差异,29.6%的 LEL 患者的护理人员也具有 LEL 教育水平。

结论

CHF 患者和护理人员的教育水平与再入院率或死亡率无关。

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