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慢性心力衰竭患者医院-家庭过渡期容量管理

Capacity Management During the Hospital-to-Home Transition Period for Patients With Chronic Heart Failure

  • 摘要:
    目的 探讨医院-家庭过渡期容量管理方案在慢性心力衰竭患者中的应用效果。
    方法 选取2022年12月–2024年8月住院的慢性心力衰竭患者为研究对象,随机分为对照组和观察组各96例。对照组采用常规护理方案,观察组采用医院-家庭过渡期容量管理方案。比较两组患者的主要结局指标(出院后2个月的干体重达标率)、次要结局指标(自我护理能力)及其他结局指标(6 min步行距离、再入院率)。
    结果 出院后2个月,观察组干体重达标率高于对照组(P<0.05),观察组6 min步行距离大于对照组(P<0.05),观察组自我护理维持、自我护理管理和自我护理信心得分均高于对照组(P<0.05),观察组再入院率低于对照组(P<0.05)。
    结论 医院-家庭过渡期容量管理方案可有效提高慢性心力衰竭患者自我容量管理能力,稳定容量负荷状态,可为慢性心力衰竭患者自我容量管理提供参考。

     

    Abstract:
    Objective Exploring the effects of the hospital-to-home transitional capacity management plan in patients with chronic heart failure.
    Methods Patients with chronic heart failure who were hospitalized from December 2022 to August 2024 were selected as research subjects and randomly assigned to either a control group or an observation group, with 96 cases in each group. The control group received the conventional nursing plan, while the observation group received the hospital-to-home transitional volume management plan. The main outcome indicator was the rate of achieving dry weight targets two months after discharge. Secondary outcome indicators included self-care ability, and other outcome indicators included 6-minute walking distance and readmission rate. These outcomes were compared between the two groups.
    Results Two months after discharge, the rate of achieving normal body weight in the observation group was higher than in the control group (P < 0.05), The 6-minute walking distance in the observation group was greater than in the control group (P < 0.05), The scores for self-care maintenance, self-care management, and self-care confidence in the observation group were all higher than those in the control group (P < 0.05), and the readmission rate in the observation group was lower than that in the control group (P < 0.05).
    Conclusion The hospital-family transitional volume management program enhance the self-capacity management ability of patients with chronic heart failure, stabilize the volume load status, and provide a reference for self-capacity management of patients with chronic heart failure.

     

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