Yontz L L
J Am Acad Nurse Pract. 1994 Jun;6(6):273-9. doi: 10.1111/j.1745-7599.1994.tb00952.x.
Approximately 400,000 patients in the United States are newly diagnosed with congestive heart failure each year. The vast majority of these patients will not survive 5 years. Symptoms that indicate a decline in patient status often go unrecognized by providers. Early identification of insidious changes and prompt intervention can improve cardiac function and decrease the incidence of acute episodes and repeated hospitalizations. Nurse practitioners in the primary care setting are often called upon to manage these patients. By understanding the physiological changes as they occur and the underlying etiology, management is enhanced.
在美国，每年约有40万患者被新诊断为充血性心力衰竭。这些患者中的绝大多数活不过5年。表明患者病情恶化的症状往往未被医护人员识别。早期发现隐匿性变化并及时干预可改善心脏功能，降低急性发作和再次住院的发生率。基层医疗环境中的执业护士经常被要求管理这些患者。通过了解生理变化及其发生过程和潜在病因，管理工作得以加强。
