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頁籤選單縮合
題 名 | 急性心肌梗塞病人危險因子異常率改善專案=A Project to Reduce the Abnormal Rate of Risk Factors in Acute Myocardial Infarction Patients |
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作 者 | 楊鈺嬿; 沈鎂吟; 吳佩樺; 高佳霙; 林秀真; | 書刊名 | 榮總護理 |
卷 期 | 28:3 2011.09[民100.09] |
頁 次 | 頁275-282 |
分類號 | 419.73 |
關鍵詞 | 急性心肌梗塞; 危險因子; 異常率; Acute myocardial infarction; Risk factors; Abnormal rate; |
語 文 | 中文(Chinese) |
中文摘要 | 急性心肌梗塞是心臟病的急症,其死亡率為44-50%,研究顯示,心臟病人的危險因子越多,罹病率及死亡率也越高,若能降低危險因子數,則可有效延緩疾病的惡化。本專案目的是希望降低急性心肌梗塞病人的危險因子異常率,進而延緩疾病的惡化。藉入院時評估病人可改變的十項危險因子,經由整合性照護團隊如藥師個別用藥指導並電訪服藥遵從性、營養師製作彩色食譜與床邊衛教、護理人員提供衛教光碟加強衛教、運用部落格獲得資訊等健康指導,於出院三個月後再門診抽血,追蹤危險因子異常率。結果發現,改善前平均每人危險因子異常率為47.2%,改善後降為25.4%,顯示本專案之改善措施確實能降低急性心肌梗塞病人危險因子的異常率,希望藉此能延緩疾病惡化,提升醫療照護品質。 |
英文摘要 | Acute myocardial infarction is an acute heart disease and the mortality rate is 44-50%. Previous research showed the more the risk factors, the higher the morbidity and mortality rate. Therefore, we assured that if we could reduce the risk factors, we could effectively delay the disease progression. The purpose of this project was to reduce the risk factors of acute myocardial infarction in order to delay disease progression by evaluating ten amendable risk factors of patients when they were admitted. Interventions provided are: offering individuated drug directions and assurance of medication compliance with telephone interview made by pharmacists; providing colorful cookbooks and health education by dietitians; providing health education CD-ROM by nursing staff; and setting up blogs to obtain information such as health guidance. Within three months after discharge, when the patients returned for evaluations on the abnormal rate of risk factors, it was found that the average abnormal rate was 25.4% as compared to 47.2% before interventions. This implied that the improved measures in this project could successfully reduce the abnormal rate of risk factors of acute myocardial infarction patients. Furthermore, we hope that this will slowdown the disease progression and improve the quality of medical care. |
本系統中英文摘要資訊取自各篇刊載內容。