摘要

【摘要】
目的 探讨延续性护理对慢性心力衰竭（CHF）患者自我效能、依从性以及在住院率的影响。

方法 将CHF患者104例随机分为观察组与对照组，各52例。对照组实施常规护理，观察组实施院后延续性护理。出院前及出院后6个月，评价并比较两组的服药依从性、自我护理能力、一般自我效能、尼苏达心力衰竭生活质量量表（MLHFQ）、合性医院焦虑-抑郁量表（HAD）及再住院率等指标。

结果 出院后6个月，观察组的服药依从性、自我护理能力、MLHFQ、一般自我效能评分均显著高于出院前及对照组，HADA及HADD评分均显著低于出院前及对照组（P<0.05）；出院后3个月及6个月，观察组的再住院率分别为3.85%、17.31%，均显著低于对照组的13.46%、36.54%（P<0.05）。

结论 延续性护理能够增强CHF患者的依从性、自我护理能力及自我效能，改善生活质量，降低再住院率。

关键词：【关键词】慢性心力衰竭；延续性护理；自我效能；依从性；再住院

ABSTRACT

Abstract
Objective To investigate the transitional care on the self-efficacy,medicine adherence and readmission rates in patients with chronic heart failure(CHF).

Methods Totally 104 patients with CHF were randomly divided into observation group and control group, 52 cases in each group. Routine care and transitional care were provided for the control group and observation group.The patients’ medicine adherence, self-care ability, general self-efficacy, Minnesota Heart Failure Quality of Life Scale (MLHFQ), Hospital Anxiety-Depression Scale (HAD) and readmission rates Before and 6 months after discharge between the two groups were compared.

Results 6 months after discharge,the scores of medicine adherence, self-care ability, general self-efficacy and MLHFQ in the observation group were significantly higher than before discharge and the control group,the scores of HADA and HADD were significantly lower (P<0.05);3 and 6 months after discharge,the readmission rates were 3.85% and 13.46% in observation group, significantly lower than 13.46% and 36.54% in the control group(P<0.05).

Conclusion   Transitional care can enhance the medicine adherence, self-care ability and self-efficacy of CHF patients, improve the quality of life and reduce the readmission rates.

Key words: Key words Chronic heart failure;Transitional care; Self-efficacy; Medicine adherence; Readmission