医院与社区联合健康教育对慢性心力衰竭患者的作用

目的医院与社区结合对慢性心力衰竭患者进行健康教育，探索进行健康教育后慢性心力衰竭患者生活质量、服药依从性、心力衰竭再住院率等方面的作用。方法选择出院的慢性心力衰竭患者1263例，随机分为二组：医院与社区联合组630例，社区组633例，所有病例平均随访12±1．6个月。结果医院与社区联合组患者的低盐饮食、适当运动、戒烟、服药依从性、LVEF、生活质量均明显高于管理前和社区组，差异均有统计学意义（均P〈0．05）；再住院率、平均住院日较社区组分别减少19．48％、4．98天，均有显著性差异（P〈0．05）。结论通过医院与社区联合对院外慢性心力衰竭患者进行健康教育管理，可改变生活方式，显著提高患者的生活质量、服药依从性，降低再住院率和平均住院日。

The Effect of Joint Hospital and Community Health Education on Chronic Heart Failure Patients

Objective To explore the effect of joint hospital and community health education on the life quality, medication compliance and readmission rates of patients with chronic heart failure. Methods 1263 discharged patients with chronic heart failure were randomly divided into two groups： 630 cases in the joint hospital and the community group and 633 cases in community groups with mean follow-up duration of 12-1.6 months. Results Patients in joint hospital and community group showed better performance in low-salt diet, moderate exercise, smoking cessation, medication compliance, LVEF and life quality than the that before the management and of community groups and the differences were statistically significant （P〈0.05）; readmission rate and average length of stay decrease 19.48% and 4.98 days respectively compared with the community group, and the differences were significant （P 〈0.05）. Conclusion The joint hospital and community health education for patients with chronic heart failure can promote lifestyle changes, significantly improve the life quality and medication compliance and reduce readmission rates and average length of stay.