慢性心力衰竭患者半年内重返住院的调查分析与对策

目的 探讨对慢性心力衰竭患者重返住院的影响因素及采取相应对策后的效果。方法 入选2016年1月~6月半年内重返我科住院的33例慢性心力衰竭患者，对患者半年内重返住院的因素进行综合分析，针对原因实施护理干预，包括规范自我管理，系统健康教育，延伸服务开展，系统性随访。比较干预前后患者自我管理水平、健康知识的知晓率、重返住院率、定期随访率、患者满意率。结果 出院6个月后随访，患者自我管理得分均较干预前升高，差异均具有统计学意义（P＜0.05）；患者干预后健康教育知晓率、疾病知识掌握率、患者满意率、定期随访率、再入院率分别为93.94%、96.97%、90.91%、100%、9.09%与干预前45.45%、42.42%、48.48%、63.64%、100.00%相比，统计学意义极显著（P＜0.001）。结论 采取规范护理干预能明显降低慢性心力衰竭患者再住院率，同时提高患者的自我管理水平和患者满意率。

Investigation and Countermeasures of Patients with Chronic Heart Failure Returning to Hospital within Half a Year

Objective To investigate the influencing factors of returning to hospital for patients with chronic heart failure and the effects after taking corresponding countermeasures.Methods In the 33 patients with chronic heart failure who returned to our department from January to June 2016,they were comprehensively analyzed for the factors of returning to hospital within six months. The nursing intervention was implemented for the reasons,including standardized self-management,systematic health education, extended service development,systematic follow-up.The self-management level,health knowledge awareness rate,re-hospitalization rate,regular follow-up rate,and patient satisfaction rate were compared before and after intervention.Results After 6 months of discharge,the self-administration scores of the patients were higher than those before the intervention,the difference was statistically significant(P<0.05).The awareness of health education after the intervention, the knowledge of disease knowledge,the satisfaction rate of patients,the regular follow-up rate,the rates of readmission were 93.94%,96.97%,90.91%,100%and 9.09%,respectively,compared with 45.45%,42.42%,48.48%,63.64% and 100.00% before intervention,the statistical significance was extremely significant(P<0.001).Conclusion Adopting standardized nursing intervention can significantly reduce the rate of rehospitalization in patients with chronic heart failure,and improve the self-management level and patient satisfaction rate.