急性心力衰竭的家庭医院护理:可行性和安全性试点试点
Jesper B Bosman1, Florine J P Jager2, Erik A Badings3
1Department of Cardiology, Deventer Hospital, Deventer, The Netherlands. jesperbosman@outlook.com.
概括
对急性不补偿性心力衰竭 (ADHF) 的混合家庭医院模式 (DZThuis) 是安全的和可行的. 它显示了与传统的住院护理相当的结果,即使有更多的并发病.
科学领域:
- 心脏病学 心脏病学
- 医疗保健管理的管理
- 患者护理模式的模型
背景情况:
- 心力衰竭 (HF) 是一个重大的全球健康挑战.
- 德文特医院实施了DZThuis,这是急性不补偿性心力衰竭 (ADHF) 的混合家庭医院模式.
- 该模型根据需要在家中或医院内提供静脉注射尿剂治疗.
研究的目的:
- 评估DZThuis混合医院在家护理模式的可行性.
- 将DZThuis的安全性和结果与ADHF患者的传统住院护理进行比较.
主要方法:
- 一项回顾性,单中心的队列研究比较了47名DZThuis患者和60名住院ADHF患者.
- 卡普兰-梅尔曲线和日志等级测试分析了死亡率和复合终点 (死亡率或HF再接收) 的时间.
- 二级终点包括治疗持续时间,功能和并发症率.
主要成果:
- 没有观察到死亡率 (p=0.987) 或复合终点时间 (p=0.745) 的显著差异.
- 治疗持续时间相似 (DZThuis:11.3±8.4天与住院:8.8±4.9天;p=0.068).
- 两组之间的并发症率相似,其中5名DZThuis患者过渡到医院护理.
结论:
- DZThuis是ADHF的可行和安全模型,尽管伴随性疾病负担较高,但其结果与住院护理相当.
- 建议在更大的队列中进行进一步的长期研究.
- 未来的研究应该集中在医院在家护理对生活质量和患者满意度的影响上.
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