摘要
慢性心力衰竭属于心脏病发展的后期严重阶段,会导致患者生活质量的明显下降。慢性心力衰竭患者出院后3~6个月再住院的概率在40%左右,患者疾病反复发作且需要长期的综合治疗,给患者的家庭带来较大的经济负担及精神压力。慢性心力衰竭已成为公共卫生问题。近几年,虽然慢性心力衰竭治疗药物的研究有明显的进展,但患者的临床症状仍未实现有效控制。国内外相关研究指出,通过合理科学的疾病管理可以有效帮助患者实现心力衰竭症状的控制,全面改善生活质量。该管理方式强调对于慢性心力衰竭患者实施整体性治疗,明确疾病管理的重要意义,需要为患者实施家庭诊疗干预、电话回访干预、门诊管理及远程医疗、社区疾病管理等。其中社区疾病管理发展前景良好,能有效降低慢性心力衰竭患者的死亡率。本文对慢性心力衰竭社区疾病管理模式的相关进展进行综述。
Chronic heart failure belongs to the late stage of the heart disease,which will lead to a significant decline in the quality of life of patients.The probability of rehospitalization of patients with chronic heart failure is about 40%in 3-6 months after discharge.The patients have recurrent disease and need long-term comprehensive treatment,which brings greater economic burden and mental pressure to the patients’families.Chronic heart failure has become a public health problem.In recent years,although the drug research of chronic heart failure has made significant progress,the clinical symptoms of patients have not been effectively controlled.Relevant studies at home and abroad point out that reasonable and scientific disease management can effectively help patients control the symptoms of heart failure and improve the quality of life.The management mode emphasizes the implementation of holistic treatment for patients with chronic heart failure and the significance of disease management.It needs to implement family diagnosis and treatment intervention,telephone follow-up intervention,outpatient management,telemedicine and community disease management for patients.Community disease management has a good prospect,which can effectively reduce the mortality of patients with chronic heart failure.This article reviews the progress of community disease management model of chronic heart failure.
作者
杨艳华
YANG Yan-hua(Department of Internal Medicine,Affiliated Hospital of Nankai University(Tianjin Fourth Hospital),Tianjin 300222,China)
出处
《中国城乡企业卫生》
2021年第8期63-65,共3页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
慢性心力衰竭
疾病管理
模式
进展
Chronic heart failure
Disease management
Model
Progress