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Hyeonji Kang¹, Mona Choi²

¹Doctoral Student College of Nursing, Graduate School of Yonsei University, Seoul, Republic of Korea; Nurse, Department of Nursing, Samsung Medical Center, Seoul, Republic of Korea.

Asian nursing research

|February 22, 2025

概括

包括自由文本注释在内的全面的护理文档对于减少左心室辅助器件 (LVAD) 患者的再入院至关重要. 诸如NYHA类和前血红素时间等因素也会影响再录取率.

科学领域:

心脏病学心脏病学
医疗器械医疗器械
护理研究护理研究

背景情况:

左心室辅助器件 (LVAD) 对于末期心力衰竭管理越来越重要.
关于导致与LVAD相关的再入院的因素的研究有限.

研究的目的:

调查与LVAD患者再入院相关的因素.
评估护理文档在LVAD患者管理和再入院率中的作用.

主要方法:

从2015年1月到2023年4月,对电子病历进行了回顾性分析.
包括127名接受LVAD植入的患者.
使用t测试,奇二测试,费舍尔精确测试和后勤回归的统计分析.

主要成果:

67%的患者在植入后104天内重新入院.
较高的纽约心脏协会 (NYHA) 课程 (II和III),高血栓激素时间,以及自由文本护理笔记的存在是重新入院的重要预测因素.
自由文本护理笔记与重新入院的几率增加了7.58倍.

结论:

综合护理文档,特别是自由文本笔记,对于识别关键患者事件和改善临床决策至关重要.
护士在患者管理,教育和出院规划方面发挥着至关重要的作用,以减少计划外的再入院.
整合详细的护理文档可以提高患者的治疗结果,并减少LVAD人群的医疗保健利用率.

关键词:

电子健康记录是电子健康记录.这是心脏辅助器件.护理诊断是一个护理诊断.护理记录护理记录患者重新入院的情况.

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