药物治疗慢性心力衰竭的患者管理策略

作     者：Reid M. Clark A. Murdoch D.L. 孙凯 

作者机构：Division of Community Based SciencesPublic Health and Health PolicyUniversity of Glasgow1 Lilybank GardensGlasgowG12 8RZUnited Kingdom 

出 版 物：《世界核心医学期刊文摘（心脏病学分册）》 (Digest of the World Core Medical Journals(Cardiology))

年 卷 期：2006年第2卷第9期

页      面：35-35页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：慢性心力衰竭 药物治疗 患者管理 左室收缩功能障碍 NYHA分级 治疗管理 比较方法 门诊患者 

摘      要：Objectives: To explore patients views of the management of medication of chron ic heart failure(CHF); to explore in what circumstances they have difficulties i n managing medication. Design: Qualitative analysis of in-depth interviews usin g a constant comparative approach. Participants: Patients attending an outpatien ts clinic with a primary diagnosis of CHF due to left ventricular systolic dysfu nction, NYHA Class II or III symptoms, and a history of hospital admission for h eart failure. Results: 50 patients were recruited, average age 67.1 years with r anges bet ween 41 and 80 years. 26 were classified as NYHA Class II and 24 Class III. Patients reported developing routines and back up strategies to help with the complex task of medication-taking. They also described circumstances in whi ch they were more likely not to take medication. Conclusions: This study demonst rates, with a large sample of respondents, the complexities of medication-takin g and the difficulties of maintaining constant medication over a long period of time. The study provides examples of patients’strategies for so doing. Health c are professionals should recognise that concordance may vary but explore ways in which they can help patients establish routines.