Application effect of discharge-home transition management scheme in patients with chronic heart failure

Abstract

Objective To explore the application effect of discharge-home transition management scheme in patients with chronic heart failure. Methods From January 2013 to February 2014, 200 patients with chronic heart failure were selected and randomly divided into the observation group and the control group, with 100 cases in each group. The observation group were given the discharge-home transition management scheme, while the control group was used the routine health education. After 4-month follow-up, rate of re-admission and regular hospital return visit, breath training, regular exercise, regular medication and other nursing indicators were compared between the two groups. Results In the observation group, 54, 32 and 14 cases had high, moderate and low level of self-care, which was significantly better than those of the control group (Hc=10 773, P<0.05). The re-admission rate and regular hospital return visit rate were 7% and 73%, which were significantly higher than those of the control group (χ2=5.351, 4.935, respectively; P<0.05). The breath training, regular exercise and regular medication were also significantly better in the observation group (χ2=4.863, 5.482, 6.571, respectively; P<0.05). Conclusions Discharge-home transition management scheme in patients with chronic heart failure can improve patients′ recovery capability, which can be further extended and used in clinical practice. Key words: Chronic heart failure; Discharge-home; Transition period; Management scheme