出院电话随访对慢性心力衰竭患者再入院率的影响

Effect of telephone follow-up on the re-admission rate of patients with chronic heart failure

目的探讨出院电话随访对慢性心力衰竭(chronic heart failure,CHF)患者再入院率的影响。方法将161例患者随机分为观察组81例和对照组80例,两组患者出院时均给予常规出院指导,观察组在患者出院后进行电话随访6个月,给予个性化护理干预。比较两组患者出院后6个月再入院率情况。结果观察组患者再入院率30.9%,对照组为42.5%,两组比较,P<0.05,差异具有统计学意义。结论出院后依据CHF患者复发诱发因素制订个性化护理干预措施,通过电话随访,可降低患者病情复发,从而降低再入院率。

Objective To explore the influence of telephone follow-up after discharge on the re-admission rate of patients with chronic heart failure.Methods In total,161 patients were randomly divided into the observation（n=81） and control group（n=80）.All participants received conventional guidance following discharge from our hospital.The patients in the observation group were subject to telephone follow-up for 6 months and individualized caring intervention.The re-admission rates after 6 months after discharge between two groups were statistically compared.Result The re-admission rate in the observation group was 30.9%,significantly lower compared with 42.5% in the control group（P〈0.05）.Conclusion The telephone follow-up combined with individualized caring intervention can reduce the re-admission rate among the patients with chronic heart failure.