伊朗德黑兰一家医院心衰患者急诊再转诊相关因素的确定:一项横断面研究

Q3 Health Professions
Fateme Yazdi, Ali Reza Ghahri Sarabi, Fateme Monjazebi, Arash Ziapour, Francesco Chirico, Malihe Nasiri
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引用次数: 0

摘要

导读:心力衰竭患者重新转介到医院是当今一个重要的健康问题,也是这些患者最昂贵和可预防的事件之一。本研究旨在调查2021年德黑兰Shahid Beheshti医科大学(Shahid Beheshti University of Medical Sciences)心衰患者转诊至急诊科的影响因素。确定这些因素可导致识别高危患者再次住院和设计预防和有效的干预措施。材料和方法:本描述性相关研究是横断面进行的。90名被转到Masih Daneshvari医院急诊科的心力衰竭患者进入了这项研究。从2020年12月至2021年5月,采样时间为6个月。数据收集工具包括一份研究者自行制作的调查问卷和一份欧洲心力衰竭患者自我保健调查问卷,以及纽约心脏协会(NYHA)心力衰竭分类标准。完成问卷调查后,使用SPSS23软件对收集到的数据进行分析。结果:结果显示,年龄(研究参与者的平均年龄为69.9岁)、病程(77.8%为6个月至4年)、体重指数(平均体重指数为27.2)(人口统计学特征)、呼吸困难(78.9%)、器官水肿(47.8%)、呼吸短促(病理因素)、高血压(54.4%)、糖尿病(25%)、慢性阻塞性肺疾病(11.1%)、缺血性心脏病(3.3%)、(背景疾病)、高肌酐(平均1.98)、(实验室结果),未使用-受体阻滞剂(18.4%)和未服用血管紧张素受体阻滞剂(18.8%)(药物),NYHA标准(89%为NYHA 3级和4级)和心力衰竭患者的自我护理水平(平均自我护理评分为37.4)与急诊转诊有统计学意义的关联(p值<0.05)。结论:通过识别影响心力衰竭患者再转诊的因素,设计有效的预防干预措施,识别再转诊的高危患者,降低护理中心的额外费用。因此,在减少转诊次数的同时提高患者的自我护理水平是可能的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Determination of factors related to emergency re-referral in patients with heart failure a hospital in Tehran — Iran: a cross-sectional study
INTRODUCTION: The re-referral of heart failure patients to the hospital is a significant health problem today and is one of the most costly and preventable events for these patients. The present study aimed to investigate the factors affecting the re-referral of patients with heart failure to the emergency department of Shahid Beheshti University of Medical Sciences in Tehran in 2021. Identifying these factors can lead to the recognition of patients at high risk for re-hospitalization and the design of preventive and effective interventions. MATERIAL AND METHODS: This descriptive-correlational research was performed cross-sectionally. Ninety patients with heart failure who were re-referred to the emergency department of Masih Daneshvari Hospital entered the study. Sampling was done for 6 months from December 2020 to May 2021. Data collection tools included a researcher-made questionnaire and a European self-care questionnaire for heart failure patients, and the New York Heart Association Classification (NYHA) standard for classifying heart failure class. After completing the questionnaires, the collected data were analyzed by SPSS23 software. RESULTS: the results showed that age (the mean age of the participants in the study was 69.9 years), duration of disease (77.8% was six months to four years), body mass index (the mean body mass index was 27.2) (demographic characteristics) dyspnea (78.9%), organs edema (47.8%), shortness of breath (pathological factors), high blood pressure (54.4%), diabetes (25%), chronic obstructive pulmonary disease (11.1%), and ischemic heart disease (3.3%), (background diseases), high creatinine (the mean 1.98), (laboratory findings), not using beta-blockers (18.4%) and not taking angiotensin receptor blockers (18.8%) (pharmacological agents), NYHA criteria (89% were in NYHA class 3 and 4) and self-care levels of heart failure patients (the mean self-care score was 37.4) have a statistically significant association to re-referrals to emergency (p-value < 0.05). CONCLUSIONS: Identify patients with a high risk of hospital re-referral and decrease additional costs imposed on care centers by recognizing the factors influencing the re-referral of patients with heart failure and design preventive and effective interventions. So, it is possible to increase the patient’s self-care level while reducing the number of re-referrals.
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来源期刊
Disaster and Emergency Medicine Journal
Disaster and Emergency Medicine Journal Medicine-Emergency Medicine
CiteScore
1.40
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0.00%
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30
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