Objective: To evaluate the influence of strengthening administration pattern outside hospital on living quality of patients with chronic heart failure(CHF).Methods: From June 2013 to June 2016, all patients of CHF who addressed in Cardiovascular Department of Rugao People's Hospital were randomly divided into two groups,managed group(M) and controlgroup(C). Patients in group M were treated with strengthened administration pattern including performing regular follow-up in the special clinic for heart failure, using calls to improve results of follow-up, and holding the health education and rehabilitation guidance for those patients with heart failure. Patients in group C were only performed regular follow-up. The medication compliance, self-management consciousness of disease and the improvement of life quality, rate of readmission, average hospitalization time and total mortality of two groups were all compared in 12 months.Results: 110 patients in group M and 95 patients in group C completed follow-up of 12 months, the rate of the defaulters in group M washigher than that in the group C(3/120 vs 13/117, P<0.05), andthe all-cause mortality in two groups was similar (5.83% vs 7.69%, P>0.05).The medication compliance, self-management consciousness of disease and the improvement of life quality in group M were all superior than those in group C(59.09% vs 13.68%,64.55% vs 31.58%,58.18% vs 29.47%,P<0.05). The rate of readmission and the average length of stay in hospital were both lower/shorter in group M than those in group C[22.73% vs 48.42%,(7.51±3.21)d vs (11.61±5.41)d, P<0.05].Conclusion: The strengthened administration pattern outside hospital could improve the quality of CHFs including medication compliance, enhance self-management consciousness etc, and this pattern may decrease the rate of readmission and the average length of stay in hospital. |
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