退院教育改善了慢性心力衰竭患者的临床结果
Todd M Koelling1, Monica L Johnson, Robert J Cody
1Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, USA. tkoellin@umich.edu
Circulation
|January 12, 2005
概括
患者教育本身显著改善了慢性心力衰竭患者的结果. 一小时的护士带领的教学课程减少了住院和成本,证明了有针对性的患者教育的价值.
科学领域:
- 心脏病学 心脏病学
- 患者教育 患者教育
- 健康结果的健康结果.
背景情况:
- 慢性心力衰竭干预通常将教育与退院后管理相结合.
- 仅仅在心力衰竭中患者教育的具体益处尚未得到充分证实.
研究的目的:
- 为了确定患者出院教育计划是否改善慢性心力衰竭患者的临床结果.
主要方法:
- 这是一项随机对照试验,涉及223名心力衰竭患者.
- 在1小时的护士教育教学课程和标准放学之间的比较.
- 30,90和180天后进行随访,以评估临床事件,症状和自我护理.
主要成果:
- 教育组的住院日数或死亡人数较少 (中位数为0与4天;P=0.009).
- 接受教育的患者再住院或死亡的风险较低 (RR 0.65;P=0.018).
- 在教育组中,护理费用减少了每名患者2823美元 (P=0.035).
结论:
- 一个简短的,由护士提供的出院教学课程可以改善心力衰竭患者的临床结果.
- 干预措施提高了对自我护理措施的坚持.
- 该教育计划导致医疗费用大幅降低.
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