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研究生:王筱珮
研究生(外文):Shiao-Pei Wang
論文名稱:自我照顧方案改善心衰竭患者症狀困擾與生活品質之成效
論文名稱(外文):The effectiveness of self-care program in improving symptom distress and quality of life of patients with congestive heart failure
指導教授:林麗嬋林麗嬋引用關係
指導教授(外文):Li-Chan Lin
學位類別:碩士
校院名稱:國立陽明大學
系所名稱:臨床護理研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2004
畢業學年度:92
語文別:中文
論文頁數:109
中文關鍵詞:心衰竭自我照顧症狀困擾生活品質再入院
外文關鍵詞:heart failureself caresymptom distressquality of lifereadmission
相關次數:
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  • 收藏至我的研究室書目清單書目收藏:10
本研究旨在探討「心衰竭自我照顧方案」介入措施對於心衰竭患者症狀困擾與生活品質之成效,採類實驗性研究設計。研究期間自92年6月至93年6月,選擇台北市某一醫學中心之兩個心臟內科病房,以方便取樣(convenience sampling)於兩病房分別選取實驗組與控制組個案,研究進行一半時再互換單位選取兩組個案。共收得研究對象27位,控制組13位,接受醫院常規照護;實驗組14位,接受醫院常規照護及自我照顧方案介入措施,資料收集時間為住院及出院後三個月。研究結果顯示實驗組在症狀困擾、六分鐘走步距離及生活品質的前後測有顯著差異,控制組則否;兩組前後測改變量實驗組顯著優於控制組。至於急診就醫、再入院與再入院天數,則未達統計上顯著差異;實驗組的非計劃性再入院、每人平均再入院次數和非計劃性再入院天數顯著低於控制組。實驗組急診就醫與再入院之醫療費用顯著低於控制組。研究之結果證實「心衰竭自我照顧方案」確實可以改善患者的症狀困擾與生活品質,降低急診就醫、再入院及醫療費用,此成果可應用在臨床實務上,以嘉惠愈來愈多的心衰竭或高危險群患者。
The purpose of this study was to examine the effectiveness of self-care program in improving symptom distress and quality of life in patients with congestive heart failure. The quasi-experimental study design was used. The period of study was from June 2003 to June 2004. Convenience sampling was adopted to select two groups’ subjects separately from two cardiac general wards of one teaching hospital in Taipei, and change wards alternatively to select another group’s subjects while the study was processing in half. Twenty-seven patients were enrolled, thirteen patients in control group who received usual care, fourteen patients in intervention group who received both usual care and self-care intervention program which included home follow-up protocol. Data were collected at index admission and three months after discharge. The study results demonstrated that the intervention group had significant improvements in symptom distress, six-minutes walking distance and quality of life. There were also significant differences between groups. The intervention group had lower emergency visits, readmissions and length of stay of readmissions than control group, however, there were no significant differences. Nevertheless, the intervention group had significant lower unplanned readmissions, average readmissions per person and length of stay of unplanned readmission than control group. The cost of either emergency visits or readmissions in intervention group was significant reducing than control group. Study findings can be concluded that heart failure self-care program is effective in improving symptom distress and quality of life, reducing emergency visits, unplanned readmissions and cost. This program is worthy of applying in clinical practice and derive benefits to increasing heart failure patients and those population with high risk developing to heart failure.
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