Hawthorne M H, Hixon M E
School of Nursing, Duke University, Durham, NC.
Prog Cardiovasc Nurs. 1994 Winter;9(1):22-32.
Patients with chronic heart failure are known not only for exceptionally high mortality rates, but also for having the highest reported hospital readmission rates for all patient groups. Analysis of preliminary descriptive data from 24 patients currently enrolled in an experimental study to examine the effects of a nursing model upon reducing readmission rates and improving quality of life are reported in this paper. Results indicate that heart failure patients experience significant mood disruption that appears to be greater than that reported by other cardiac patients; mood disruption is also related to reported quality of life. Reported exercise tolerance was unrelated to ejection fraction; this finding underscores the importance of psychosocial interventions in improving the quality of life and care outcomes for patients with heart failure.
慢性心力衰竭患者不仅以极高的死亡率而闻名，而且在所有患者群体中，其再入院率也是最高的。本文报告了对24名目前参与一项实验研究的患者的初步描述性数据分析，该研究旨在检验一种护理模式对降低再入院率和改善生活质量的效果。结果表明，心力衰竭患者经历了显著的情绪紊乱，这种紊乱似乎比其他心脏病患者报告的更为严重；情绪紊乱也与报告的生活质量相关。报告的运动耐量与射血分数无关；这一发现强调了心理社会干预对改善心力衰竭患者生活质量和护理结果的重要性。
