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目的通过对慢性心力衰竭患者再入院的影响因素的探讨,为CHF缓解期患者在院外自我监测和护理提供依据。方法将100例慢性心力衰竭患者随机分为对照组和观察组各48例和52例,对照组出院时给予常规出院指导;观察组在此基础上发放定期随访卡1张,注明随访时间,嘱患者定期来院复查血压、心率、体质量、心电图及电解质,根据复查情况,由经治医生调整用药剂量。出院后1年统计两组患者心力衰竭加重再入院情况及诱因,患者是否遵医嘱定期来院随访。结果观察组患者遵医嘱定期来院随访率显著高于对照组,再入院率显著低于对照组(均P<0.01);未遵医嘱服药、不良生活方式、精神心理压力是导致力衰竭加重再入院的主要诱因。结论定期随访卡能有效促进患者进行自我管理,维持心功能,降低再次入院率。
Objective To investigate the influencing factors of rehospitalization in patients with chronic heart failure and provide basis for outpatient self-monitoring and nursing care in CHF remission period. Methods 100 patients with chronic heart failure were randomly divided into control group and observation group, 48 cases and 52 cases, the control group were given regular discharge guidance at discharge; on the basis of the observation group issued a regular follow-up card, indicating the follow-up time, Zhu Huanzhe regularly review the hospital blood pressure, heart rate, body mass, ECG and electrolytes, according to the review of the situation, by the doctor to adjust the dosage. One year after discharge, two groups of patients with heart failure increased re-admission conditions and incentives, whether the patient regularly to hospital follow-up. Results The follow-up rate of obstetrics and gynecology patients in regular observation group was significantly higher than that in control group, and the rate of re-admission was significantly lower than that in control group (all P <0.01). Failure to follow the doctor’s orders, unhealthy life style and mental stress led to further failure The main incentive. Conclusion Regular follow-up card can effectively promote self-management of patients, maintain cardiac function and reduce the rate of re-admission.