3Kohn C S,Peturcei R J,Baessler C.The effect of psychological intervention on atients long-term adjustment to the ICD:A prospective study[J].PACE,2000,23(1):450.
3DeBusk RF,West JA,Miller NH,et al.Chronic disease management:Treating the patient with disease(s)vs treating disease(s)in the patient[].Archives of Internal Medicine.1999
4Smith SC J,Blair SN,Bonow RO,et al.AHA/ACC guidelines for preventing heart attack and death in patients with atherosclerotic cardiovas-cular disease:2001update.A statement for healthcare professionalsfrom the American Heart Association and the American College of Cardiology[].Journal of the American College of Cardiology.2001
5Riley J.The nurse as expert practitioner in glo-bal cardiovascular risk management[].Heart.2003
7Wong FKY,Ho M,Chiu I,et al.Factors con-tributing to hospital readmission in a Hong Kong regional hospital:A case-controlled study[].Nursing Reseach.2002
8Naylor MD,Brooten D,Campbell R,et al.Comprehensive discharge planning and home follow-up of hospitalized elders:A randomized clinical trial[].The Journal of the American Medicaal Association.1999
9Wolf MS.Patient Education[].Criutical care nursing of the elderly.2001
10Allison TG,Farkouh ME,Smars PA,et al.Management of coronary risk factors by regis-tered nurses versus usual care in patients with unstable angina pectoris(a chest pain evaluation in the emergency room[CHEER]substudy)[].The American Journal of Cardiology.2000
3Mary D.Naylor,Dorothy A.Brooten,Roberta L.Campbell,GregMaislin,Kathleen M.McCauley,J. SanfordSchwartz.Transitional Care of Older Adults Hospitalized with Heart Failure: A Randomized, Controlled Trial[J]. Journal of the American Geriatrics Society . 2004 (5)
4Carla Parry,Eric A. Coleman,Jodi D. Smith,Janet Frank,Andrew M. Kramer.The Care Transitions Intervention: A Patient-Centered Approach to Ensuring Effective Transfers Between Sites of Geriatric Care[J]. Home Health Care Services Quarterly . 2003 (3)
5Shortell Stephen M,Rundall Thomas G,Hsu John.Improving patient care by linking evidence-based medicine and evidence-based management. JAMA : the journal of the American Medical Association . 2007
6Rygh E M,Hjortdahl P.Continuous and integrated health care services in rural areas. A literature study. Rural and remote health . 2007
7Coleman Eric A,Parry Carla,Chalmers Sandra,Min Sung-Joon.The care transitions intervention: results of a randomized controlled trial. Archives of Internal Medicine . 2006