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作 者:罗辑[1] 林世红[2] 蔡洁[1] 徐向新[2] 韦成信[2] 潘柳萍[3] 黄琦[1] 郑华[2] 黄霭莲[2]
机构地区:[1]柳州市人民医院护理部,广西柳州545006 [2]柳州市人民医院心胸外科 [3]柳州市人民医院医务科
出 处:《解放军护理杂志》2017年第18期70-73,共4页Nursing Journal of Chinese People's Liberation Army
基 金:广西卫生厅立项的医疗卫生自筹经费计划课题(Z2011279)
摘 要:目的探讨延续护理对心脏瓣膜置换术后出院患者生活质量的影响。方法2013年8月至2014年5月,便利抽样法选取在柳州市人民医院治疗的心脏瓣膜置换术后患者100例为研究对象。按随机数字表法将其分为观察组和对照组,每组50例。观察组采用心脏瓣膜置换术后患者自我管理行为模式对患者进行延续护理干预;而对照组患者进行常规护理,干预期为6个月。比较两组患者出院时、出院后6个月自我管理行为、自我效能感、健康状态、遵医行为、抗凝治疗并发症发生情况及患者的满意度。结果出院时,观察组与对照组患者的自我管理行为得分、自我效能感得分、健康状态得分的差异均无统计学意义(均P>0.05);出院6个月后,观察组与对照组患者的自我管理行为得分、自我效能感得分、健康状态得分的差异均有统计学意义(P<0.05);且两组患者的自我管理行为得分、自我效能感得分、健康状态得分均高于出院时,差异均有统计学意义(均P<0.05)。结论延续护理可减少心脏瓣膜置换术后的并发症,促进患者的康复,提高患者的生活质量。Objective To explore the effect of continuous nursing intervention on the quality of life of discharged patients after cardiac valve replacement.Methods By convenience sampling,100 cases were selected and randomly divided into observation group and control group,with 50 cases in each group.The observation group was applied with self-management mode of continuous nursing intervention,while the control group received routine nursing for 6 months.The self-management behavior,self-efficacy,health status,treatment compliance and incidence of complications and patients satisfaction level were compared.Results No statistical significance of scores of self-management behavior,self-efficacy and health status were found between two groups at the time of discharge(all P >0.05).Six months after discharge,the differences of scores of self-management behavior,self-efficacy and health status in two groups were statistically significant(P<0.05).The scores of self-management behavior,self-efficacy and health status after 6 months were both higher than those at the time of discharge(all P<0.05).Conclusion Continuous nursing intervention can reduce the incidence of complications in patients after cardiac valve replacement,promote the self-management ability,and effectively improve the patients' quality of life.
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