在心力衰竭中优化护理过渡和长期管理:对策略和模型的全面审查
J Camarón1, M Galván Ruiz2, M T López-Lluva3
1Internal Medicine Unit, Hospital Universitario Joan XXIII, Tarragona, Spain.
ESC heart failure
|February 19, 2026
概括
优化心力衰竭 (HF) 护理过渡和长期管理至关重要. 协调,以患者为中心的策略显著减少死亡率和再住院,改善患者的生活质量.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 心力衰竭 (HF) 带来了重大的全球公共卫生挑战,其特点是高死亡率,频繁的再住院和不断上升的医疗保健成本.
- 迫切需要有效的策略来优化护理过渡和长期管理,以改善患者的治疗结果和系统的可持续性.
研究的目的:
- 进行范围审查,以确定和综合当前改善心力衰竭患者护理连续性的方法.
- 评估过渡期护理和长期随访 (退院后≥6个月) 的干预措施.
主要方法:
- 系统搜索国际数据库 (PubMed/Medline,Scopus) 和手动搜索2015年1月至2024年6月期间发表的研究.
- 两个独立审查员对118项符合条件的研究进行了选,对73项高度相关的研究进行了定性综合.
- 范围审查的PRISMA扩展 (PRISMA-ScR) 检查清单的遵守.
主要成果:
- 结构化的出院计划与密切跟踪减少了30%至50%的30天再入院.
- 护士主导的项目,远程医疗,远程监测和多学科单位显示,住院和死亡率大幅减少.
- 药剂师/护士干预改善了药物安全性,而心理社会支持提高了自我管理和生活质量.
结论:
- 协调,以患者为中心的策略在改善心力衰竭护理过渡和长期管理方面是有效的.
- 这些方法可以明显降低死亡率和再住院率,提高患者参与度,改善生活质量.
- 有证据支持实施这些战略,为管理心力衰竭提供可持续的医疗保健框架.
相关概念视频
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