医患直接沟通联合远程随访可降低心力衰竭患者再入院率及医疗费用

Direct communication between doctors and patients combined remote follow-up can reduce chronic heart failure patients re-hospitalization rates and medical costs

目的探讨医患直接沟通联合远程随访对社区慢性心力衰竭患者的影响。方法将慢性心力衰竭患者228例随机分成A组(医患直接沟通进行管理)及B组(医患直接沟通基础上,接受远程管理);所有心力衰竭患者均按常规治疗。观察所有患者不良生活方式改变情况、遵医服药情况、住院次数、再住院率、及医疗费用。结果 B组与A相比,在生活方式改良、遵医行为、住院次数、医疗费用等方面差异均有统计学意义(P<0.05);由于观察时间短,是否能降低病死率有待进一步观察。结论通过医患直接沟通基础上,接受远程管理对慢性心力衰竭患者的管理,能提高患者对治疗的依从性,降低再入院率及医疗费用。

Objective To explore the influence of direct communication between doctors and patients combined remote follow-up on patients with heart failure.Methods 228 patients with heart failure were divided into A group（Direct communication between doctors and patients） and B group Direct communication between doctors and patients combined remote follow-up）;All heart failure patients were received conventional treatment.Then we observed the change of unhealthy lifestyle,compliance of medication condition,frequency of hospitalization,readmission rate,and medical expenses of all the patients.Results The frequency of re-hospitalization and medical costs after one year in B group was significantly lower than that in A group（P0.05）;Conclusion Direct communication between doctors and patients combined remote follow-up can significantly improve patient compliance and reduce re-hospitalization rates and medical costs of patients with heart failure.