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引用本文:高京华 李红文 孙媛 张玉莲.延续护理对老年慢性心衰患者6分钟步行实验及再住院率的影响研究[J].中国护理管理,2017,17(5):668-671 本文二维码信息
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延续护理对老年慢性心衰患者6分钟步行实验及再住院率的影响研究
The effects of extended nursing intervention in patients with Chronic Heart Failure
  
DOI:10.3969/j.issn.1672-1756.2017.05.022
中文关键词:  延续护理  老年患者  慢性心衰  6分钟步行实验  再住院率
English Keywords:transitional care  elderly patients  Chronic Heart Failure  6-Min Walking Test (6 MWT)  rehospitalization rate
基金项目:陕西省科技计划统筹项目(2016KTCL03-05)
作者单位
高京华 李红文 孙媛 张玉莲 陕西省人民医院第四临床部710068 西安市(高京华)老年心内科(李红文)院前急救(孙媛)院办(张玉莲) 
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中文摘要:
      目的:评价规范化的院外延续护理对老年慢性心衰患者6分钟步行实验(6-Min Walking Test,6 MWT)及再住院率的影响。方法:于2015年1-10月选取在陕西省某三级甲等医院老年心内科治疗后出院的慢性心衰患者100例,按出院次序奇、偶数分成实验组(n=50)和对照组(n=50)。对照组给予常规出院指导,实验组接受规范化的院外延续护理,时间均为3个月。所有入选患者均于出院时进行6MWT测试,3个月末再次进行6MWT测试,观察比较两组患者6 MWT测试结果及3个月内的再住院率。结果:3个月末实验组6分钟步行距离(476.42±23.25)m,对照组(198.64±18.87)m,两组间比较差异有统计学意义(P<0.05);3个月内实验组再住院率12.0%(6例),对照组再住院率40.0%(20例),两组间比较差异有统计学意义(P<0.01)。结论:规范化的院外延续护理可显著提高老年慢性心衰患者的6分钟步行距离,降低再住院率。
English Summary:
      Objective: To explore the effects of extended nursing intervention inelderly patients with Chronic Heart Failure. Methods: Totally 100 patients with Chronic Heart Failure were randomly divided into experimental group (n=50) and control group (n=50). Patients in control group accepted usual discharge guidance, while patients inexperimental group accepted individualeducation for 3 months. The 6 MWT were performed at discharge and three months later. Rehospitalization of the patients within three months were recorded. Results: At the end of three months, there was significant difference in 6MWT between the control group (198.64±18.87) m and the experiment group (476.42±23.25) m (P<0.05). There was significant difference in rehospitalization rate between the two groups as well (P<0.01). The reospitalization rate of the control group was 40.0% (20 cases), while the experiment group was 12.0% (6 cases). Conclusion: Transitional care can improve the quality of life in elderly patients with Chronic Heart Failure.
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