慢性心力衰竭患者医院至家庭过渡性护理干预的实施与评估
Implementation and evaluation of hospital-to-home transitional care intervention in patients with chronic heart failure.
作者信息
Feng Zhi-Fen, Liu Yun, Salvador Jordan Tovera, Ala Minerva Bravo De, Nery Mary Ann Cabansag, Huang Xin-Yue, Zhang Lei, Liu Shan
机构信息
School of Nursing and Health, Henan University, Kaifeng, China.
Zhongshan People's Hospital Nursing Department, Zhongshan, China.
出版信息
BMC Nurs. 2025 Jul 1;24(1):717. doi: 10.1186/s12912-025-03447-5.
BACKGROUND
Chronic Heart Failure (CHF) is a complex clinical syndrome that occurs in the end stages of various cardiovascular diseases. It is characterized by symptoms such as weakness, reduced cardiac function, and decreased exercise capacity. The high incidence, high mortality rate, and poor prognosis of CHF have become prominent features of this disease, making it an urgent and pressing clinical issue.
AIM
This study aims to investigate the impact and evaluate the effectiveness of hospital-to-home transitional care for patients with chronic heart failure (CHF).
METHODS
Convenient sampling was used to select 60 patients with CHF from the cardiology department of a tertiary Grade A hospital in Guangdong Province between February and June 2022. The patients were divided into a control group and an intervention group using a random number table, with 30 patients in each group. The intervention group received a transitional care intervention mainly focused on the transitional care model (TCM), while the control group received routine treatment and interventions for CHF.
RESULTS
The intervention group showed significantly higher levels of self-efficacy and self-management and better cardiac ultrasound examination results than the control group (P < 0.05). The intervention group also had lower scores in laboratory indicators (plasma NT-pro BNP) than the control group (P < 0.05). Hospital readmission rate: There was no significant difference in hospital readmission rates between the two groups (P > 0.05), but the intervention group showed a significant difference in emergency admission rate (P < 0.05).
CONCLUSIONS
The hospital-to-home TCM enhances self-management and improves the quality of life for patients with chronic heart failure. The conduct of this research provides clinical practitioners with reference for later research, and is also conducive to the promotion and popularisation of health care policies. This study has registered the ethical review batch number, which is NCT06779227.
TRIAL REGISTRATION
The trial has been registered on ClinicalTrial.gov (Ref: NCT06779227). The registration date is January 15, 2025.
背景
慢性心力衰竭（CHF）是一种复杂的临床综合征，发生于各种心血管疾病的终末期。其特征包括虚弱、心脏功能降低和运动能力下降等症状。CHF的高发病率、高死亡率和不良预后已成为该疾病的突出特点，使其成为一个紧迫的临床问题。
目的
本研究旨在调查医院至家庭过渡性护理对慢性心力衰竭（CHF）患者的影响并评估其有效性。
方法
采用便利抽样法，于2022年2月至6月从广东省某三级甲等医院心内科选取60例CHF患者。使用随机数字表将患者分为对照组和干预组，每组30例。干预组接受以过渡性护理模式（TCM）为主的过渡性护理干预，而对照组接受CHF的常规治疗和干预。
结果
干预组的自我效能感和自我管理水平显著高于对照组，心脏超声检查结果也更好（P < 0.05）。干预组的实验室指标（血浆NT-pro BNP）得分也低于对照组（P < 0.05）。医院再入院率：两组之间的医院再入院率无显著差异（P > 0.05），但干预组的急诊入院率有显著差异（P < 0.05）。
结论
医院至家庭的中医过渡性护理增强了慢性心力衰竭患者的自我管理能力，提高了生活质量。本研究的开展为临床医生后续研究提供了参考，也有利于医疗保健政策的推广和普及。本研究已注册伦理审查批号，为NCT06779227。
试验注册
该试验已在ClinicalTrial.gov上注册（注册号：NCT06779227）。注册日期为2025年1月15日。
Zotero 插件