通过个性化患者教育计划减少心力衰竭事件,在患者中减少喷射分数
Anu Philip1, Chakrakodi Shasidhara Shastry1, Basavaraj Utagi2
1Department of Pharmacy Practice, NGSM Institute of Pharmaceutical Sciences (NGSMIPS), Nitte (Deemed to be University), Mangalore 575018, India.
Heart & lung : the journal of critical care
|January 19, 2025
概括
一个个性化的患者教育计划 (IPEP) 显著降低了心力衰竭再住院率,并改善了心力衰竭降低射出分数 (HFrEF) 患者的生活质量. 这项患者教育计划增强了自我护理实践和药物坚持.
科学领域:
- 心脏病学 心脏病学
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 心力衰竭 (HF) 疾病管理计划通过药物管理和生活方式改变来改善临床结果.
- 减少喷射分数 (HFrEF) 需要专门的患者教育才能有效管理.
- 在HF的标准护理可能无法完全满足患者的自我护理需求.
研究的目的:
- 评估针对HFrEF患者的个性化患者教育计划 (IPEP) 的有效性.
- 评估IPEP对临床结果,自我护理实践,药物坚持和生活质量的影响.
- 确定学术药剂师在为HFrEF提供患者教育方面的作用.
主要方法:
- 一项前性干预研究,涉及164名患者,随机分为控制 (CG) 和干预 (IG) 组.
- 导师从学术药剂师那里接受了IPEP,而两组都接受了标准的护理.
- 包括自我护理,药物坚持,生活质量和再住院等结果在6个月和12个月后使用统计分析进行评估.
主要成果:
- 一年再住院率在IG (33%) 与CG (48%) 相比显著较低 (HR=0.55,p=0.018).
- 卡普兰-梅尔分析显示,随着时间的推移,IG的再住院率显著降低 (日志排名P=0.017).
- 在6个月和12个月后,IG在自我护理实践,药物坚持和生活质量方面显著改善 (p ≤ 0.001).
结论:
- 由学术药剂师提供的个性化患者教育计划 (IPEP) 对于HFrEF管理是有效的.
- 在HFrEF患者中,IPEP显著降低了一年再住院率.
- IPEP提高了患者的自我护理,药物坚持和生活质量.
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