延伸照护在心脏瓣膜置换患者康复中的应用效果  

The effect of extended care in rehabilitation of patients with cardiac valve replacement

作　　者：徐宝玲[1] 苏洁[1] 李彩红[1] 杨华[1] 苏小花[1] 张俊[1] 李瑞娜[1] 

机构地区：[1]第四军医大学西京医院心血管外科,西安市710032

出　　处：《护理管理杂志》2016年第4期278-280,共3页Journal of Nursing Administration

基　　金：第四军医大学西京医院新技术新业务(XJGX13C07)

摘　　要：目的探讨延伸照护在心脏瓣膜置换患者康复中的应用效果。方法将268例心脏瓣膜置换患者分为实验组130例和对照组138例。两组患者在住院期间及出院时均给予常规围手术期护理,实验组出院后在此基础上实施延伸照护。12个月后观察两组患者遵医行为、并发症发生率及生存质量。结果 12个月后实验组患者遵医行为得分高于对照组(P<0.05),并发症发生率低于对照组(P<0.01),生活质量高于对照组(P<0.01或P<0.05)。结论为心脏瓣膜置换术患者出院后实施延伸照护可提高患者遵医行为,减少术后并发症的发生,提高患者生活质量。Objective To evaluate the effect of extending care in rehabilitation of patients with cardiac valve replacement. Methods Totally,268 heart valve replacement patients were divided into the experimental group with 130 cases and the control group with 138 cases. Two groups of patients in the hospital were given routine nursing care at discharge. In addition, patients in the experimental group received extended care after discharge. The compliance of patients, morbidity and quality of life were observed after 12 months. Results After 12 months,the score of compliance behavior of patients was higher （P 〈 0.05 ）, the incidence of complications was lower （ P 〈 0.01 ）, quality of life was higher in the experimental group than those of the control group （ P 〈 0.01 or P 〈 0.05 ）. Conclusion Extended care for patients with cardiac valve replacement after discharge can improve the compliance reduce the incidence of postoperative compli- cations and improve quality of life.

关 键 词：瓣膜置换 患者 护理延伸 遵医行为 

分 类 号：R542.5[医药卫生—心血管疾病]