Kalp yetersizliği olan hastaların hastaneye tekrar yatış sıklığı ve nedenlerinin incelenmesi

Çalışmanın amacı, kalp yetersizliği tanısı olan hastaların hastaneye tekrarlı yatış sıklığını venedenlerini incelemektir. İki üniversite hastanesinin, kardiyoloji kliniğinde yürütülen araştırmanın örneklemini137 hasta oluşturmuştur. Verilerin toplanmasında, hasta tanıtım formu, Birden Çok Hastalığa Sahip Olmaİndeksi (Komorbidite İndeksi) ve Katz’ın Günlük Yaşam Aktiviteleri İndeksi kullanılmıştır. Veriler ki kare testi,tek yönlü varyans analizi ile değerlendirilmiştir.Araştırmaya katılan bireylerin %21.9’unun iki kez, %27.7’sinin üç kez ve %50.4’ünün dört ve üzerindehastaneye tekrar yattığı, yatış sıklığı dört ve üzeri olan grupta hastaların yaş ortalamasının, tanı sürelerinin veNYHA sınıflamasnını anlamlı olarak yüksek ve sol ventrikül ejeksiyon fraksiyon yüzdesi ile günlük yaşamaktiviteleri puanının daha düşük olduğu belirlenmiştir. Bu nedenle hemşirelerin bu hasta grubunu dahayakından izlemesi önerilmektedir.

Examinaıion of frequency and causes of hospital readmission for patients with heart failure

The aim of this study was to examine the frequency and causes of hospital readmission for heart failurepatients. The study was carried out in the cardiology departments of two university hospitals and the researchsample consisted of 137 patients. Patient Demographic Form, Comorbidity Index, and Katz Index of DailyLiving Activities were used for the data collection. The data were analyzed by using the chi-square test and one- way ANOVA test.It was found that, of the participants in the study, 21.9% were readmitted twice, 27.7% three times, and50.4% four or more times. It was determined that the mean age of patients readmitted four or more times, andtheir duration of diagnosis and NYHA functional classes were significantly higher, whereas their left ventricularejection fraction percentages and mean scores of daily living activities were lower. Therefore, it is recommendedthat nurses follow the patients in this group more closely.

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