Analysis of the impact of discharge plan on the readiness of patients with chronic heart failure to discharge
出院计划对慢性心力衰竭患者出院准备度的影响分析

摘要

目的 探讨出院计划对慢性心力衰竭患者出院准备度的影响。方法 选取2022年1月至2023年6月期间本院收治的56例慢性心力衰竭患者，经随机数字分类法分为非计划组和计划支持组，各28例。非计划组常规护理，计划支持组在非计划组基础上应用出院计划干预，对比两组出院准备度及预后情况。结果 出院准备度测评：计划支持组出院前1d个人状态（29.26±5.93分）、适应能力（48.63±7.02分）、预期性支持评分（41.68±4.92分）与总分（119.52±11.43分）显著高于非计划组（18.63±4.76分、 35.78±5.19分、34.02±5.76分、89.01±12.02分）（P<0.05）。计划支持组出院时（86.15±10.03分）和出院后3个月生活质量评分（90.23±9.86分）显著高于非计划组（74.26±9.03分、80.11±12.03分）（P<0.05）。结论 结合患者个体出院后护理需求，建立出院计划，可有效提升患者出院准备度，并可提高生活质量，降低不良预后风险，应用效果可靠。

Abstract

Objective To explore the impact of discharge plan on the readiness of patients with chronic heart failure to discharge.
Methods 56 patients with chronic heart failure admitted to our hospital between January 2022 and June 2023 were selected and randomly divided into an unplanned group and a planned support group, with 28 cases in each group, using a random number classification method. The unplanned group received routine care, while the planned support group applied discharge plan interventions on the basis of the unplanned group. The preparation and prognosis of discharge were compared between the two groups.
Results Discharge readiness assessment: The planned support group had significantly higher personal status (29.26 ± 5.93 points), adaptability (48.63 ± 7.02 points), expected support score (41.68 ± 4.92 points), and total score (119.52 ± 11.43 points) than the non planned group (18.63 ± 4.76 points, 35.78 ± 5.19 points, 34.02 ± 5.76 points, 89.01 ± 12.02 points) one day before discharge (P<0.05). The quality of life score of the planned support group at discharge (86.15 ± 10.03 points) and 3 months after discharge (90.23 ± 9.86 points) was significantly higher than that of the non planned group (74.26 ± 9.03 points, 80.11 ± 12.03 points) (P<0.05).
Conclusion   Establishing a discharge plan based on the individual nursing needs of patients after discharge can effectively enhance their readiness for discharge, improve their quality of life, reduce the risk of poor prognosis, and achieve reliable application results.