Tom 12, Nr 2 (2017)
Artykuł przeglądowy
Opublikowany online: 2017-04-20
Wyświetlenia strony
1004
Wyświetlenia/pobrania artykułu
1210
Czynniki wpływające na rehospitalizacje pacjentów z niewydolnością serca
DOI: 10.5603/FC.2017.0024
Folia Cardiologica 2017;12(2):162-170.
Streszczenie
Niewydolność serca (HF) jest obecnie ważnym problemem klinicznym. Rehospitalizacje chorych z HF są jedną z przyczyn gorszego rokowania, wpływają na przebieg choroby i dalsze leczenie. Główną przyczyną readmisji do szpitala jest zaostrzenie HF, które z patofizjologicznego punktu widzenia wiąże się z podwyższonym ciśnieniem w kapilarach płucnych. Czynniki wpływające na rehospitalizacje można podzielić na: związane z układem krążenia (takie jak niedokrwienie, migotanie przedsionków czy niekontrolowane nadciśnienie tętnicze), niezwiązane z układem krążenia (choroby współistniejące, w szczególności przewlekła obturacyjna choroba płuc czy infekcje), związane z pacjentem (takie jak współpraca i stosowanie się do zaleceń leczniczych, samokontrola, zespół kruchości, zaburzenia poznawcze, depresja, kacheksja), związane z systemem opieki zdrowotnej (takie jak niewydolność systemu opieki w zakresie edukacji i leczenia, nihilizm terapeutyczny). Rehospitalizacje chorych z HF są złożonym, wieloczynnikowym i nie do końca poznanym problemem. Zintegrowana wielodyscyplinarna opieka nad chorym, uwzględniająca także edukację pacjenta oraz jego samoocenę i samokontrolę, może zmniejszyć liczbę rehospitalizacji i śmiertelność ogólną chorych z HF.
Słowa kluczowe: niewydolność sercarehospitalizacje
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