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儿童先天性心脏病随访体系应用研究

Applied research on follow-up system of children congenital heart disease
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摘要 [目的]探讨先天性心脏病(CHD)患儿随访系统建立及应用效果。[方法]选取本院心外科收治的110例CHD患儿,根据随机数字表法将患儿分为观察组及对照组各55例,对照组出院后行常规性护理随访,观察组建立随访护理系统,分别于出院后1个月、3个月、6个月、12个月对患儿实施随访护理,比较两组患儿随访过程中再次入院率、心血管事件、病死率、家属满意率及患儿生活质量。[结果]观察组再次入院率、心血管事件率、病死率均低于对照组(P<0.05),而患儿定期复诊率、满意率高于对照组(P<0.05)。观察组干预后心理领域、生理领域、社会领域、环境领域及总评分均高于对照组(P<0.05)。[结论]构建CHD随访系统有助于降低患儿出院后心血管事件发生率及病死率,有利于患儿预后,提高患儿生活质量及家属治疗满意度。 To investigate the follow- up system of children with congenital heart disease(CHD) and its application effect. Methods:110 cases of children with CHD were divided into observation group(n=55) and control group(n=55) from January 2016 to December 2016. The observation group was applicated with discharge routine nursing intervention and observation groups was ap- plicated with establish follow - up care system. The CHD children was followed - up nursing care after 1 month, 3 months, 6 months and 12 months. The re- admission rate, cardiovascular events, mortality, family satisfaction and children's quality of life of two groups were compared. Results. The re- admission rate, cardiovascular event rate and mortality of observation group were higher than control group(P〈0.05), while those in the family members were higher than control group(P〈0.05). The psychological, physiological, so- cial,environmentaland total score of observation group after intervention were higher than control group(P〈0.05). Conclusion. The construction of CHD follow- up system can help reduce the incidence of cardiovascular events and mortality in children after dis- charge, which is beneficial to children's prognosis, improve children's quality of life and family satisfaction.
作者 陈瑶瑶 田甫翠 罗金文 Chen Yaoyao;Tian Fucui;Luo Jinwen(Hunan Children's Hospital,Hunan 410007 China)
机构地区 湖南省儿童医院
出处 《全科护理》 2018年第30期3724-3726,共3页 Chinese General Practice Nursing
关键词 先天性心脏病 随访系统 预后 生活质量 congenital heart disease follow - up system prognosis quality of life
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