120例慢性心力衰竭患者再住院率现状调查分析

Investigation and analysis of rehospitalization rate of 120 patients with chronic heart failure

目的:调查慢性心力衰竭(CHF)患者再住院率现状,科学选择药学干预切入点。方法:采用疾病知识问卷、治疗用药知识问卷、用药依从性问卷、临床不合理用药调查表调查120例CHF患者的基础资料、CHF疾病知识知晓度、CHF治疗用药知识了解程度、用药依从性情况、临床不合理用药情况,并对调查结果进行分析。结果:本组CHF患者对疾病知识知晓程度很低;治疗用药知识了解程度很低;用药依从性很差;临床不合理用药情况很多。进一步分析发现,CHF患者再入院次数与对疾病知识知晓度呈负相关(P<0.01),与对治疗用药知识了解程度呈负相关(P<0.01),与用药依从性呈负相关(P<0.01),与临床不合理用药呈正相关(P<0.01)。结论:药物治疗不当所诱发的再入院不容忽视,临床应依此为药学干预的切入点,采取科学、有效措施进行药学干预,使患者和或家属主动参与到治疗中来,并学会自我管理,将对改善CHF患者生活质量、改善患者长期和预后、降低住院率和死亡率发挥极其重要的作用。

OBJECTIVE To investigate rehospitalization rate of patients with chronic heart failure （CHF）, and find the appropriate intervention points from pharmaceutical aspects.METHODS The basic data of 120 patients with CHF were investigated by questionnaires on disease and drug knowledge, medication compliance and irrational medication, and were analyzed.RESULTS This group of CHF patients knew little about the disease and drugs they took, they had poor medication compliance and irrational medication. Further analysis indicated negative relationships of rehospitalization time with disease knowledge, drug knowledge, compliance and irrational medication （all P〈0.01）.CONCLUSION Rehospitalization induced by inappropriate medication cannot be ignored. Scientific and effective measures should be adopted to perform pharmaceutical intervention, to stimulate the patients and their families to actively participate in the therapy, and learn self administration, which will help to improve the life quality of CHF patients and their long term outcomes, and decrease hospitalization rate and death rate.