医护合作护理对行心脏瓣膜置换术患者精神状态及治疗依从性的影响  

Influence of cooperative medical care on mental state and treatment compliance of patients after valve replacement

作　　者：杜莹[1] 高铭鑫[1] 于文渊[1] 董艳梅 黄静文 戴龙圣 唐国蕊 于洋[1] DU Ying;GAO Mingxin;YU Wenyuan;DONG Yanmei;HUANG Jingwen;DAI Longsheng;TANG Guorui;YU Yang(Department of Cardiac Surgery,Beijing Anzhen Hospital,Capital Medical University,Beijing Institute of Heart,Lung and Blood Vessel Diseases,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所心外科,100029

出　　处：《心肺血管病杂志》2021年第5期473-476,共4页Journal of Cardiovascular and Pulmonary Diseases

摘　　要：目的:分析医护合作护理对行心脏瓣膜置换术患者精神状态及治疗依从性的影响.方法:回顾性分析我院心血管外科2019年1月至2020年6月,行心脏瓣膜置换术患者100例的临床资料,根据护理方法分为对照组和观察组,各50例.对照组采用常规护理模式进行护理,观察组采用医护合作护理进行护理,两组均护理至患者出院,并随访3个月.观察两组术前、护理完成后心功能、生活质量和精神状态,比较两组出院后随访情况.结果:与术前比较,护理完成后两组LVESD、LVEDD和人际敏感、敌对、强迫、焦虑、恐怖、抑郁、躯体化、偏执及精神病性评分均降低,观察组低于对照组(P<0.05).与术前比较,护理完成后两组心脏左心室短轴缩短率(FS)和生命活力、情感职能、精神健康、生理功能、躯体疼痛、社会功能及生理职能评分均升高,观察组高于对照组(P<0.05).随访期间,观察组服药依从率、定期复查率和护理满意率分别为96.0%、98.0%、96.0%,显著高于对照组(82.0%、86.0%、80.0%,P<0.05).随访期间,观察组抗凝相关并发症发生率为6.0%,与对照组(10.0%)比较,差异无统计学意义(P>0.05).结论:采用医护合作护理对行心脏瓣膜置换术患者进行护理,可有效提高患者精神状态和治疗依从性,改善心功能,提高患者生活质量和护理满意度,值得在临床推广.Objective:To analyze the influence of cooperative medical care on mental state and treatment compliance of patients after valve replacement.Methods:The clinical data of 100 patients undergoing valve replacement in cardiovascular surgery of our hospital from January 2020 to July 2020 were collected retrospectively,and were divided into the control group and the observation group,with 50 cases in each group according to nursing method.The observation group was given cooperative medical care,while the control group was given routine nursing mode.Both groups were given cared until the patients were discharged from hospital and followed up for 3 months.The heart function,quality of life and mental state were observed before and after nursing between the two groups,and the follow-up after discharge was compared between the two groups.Results:Compared with preoperative nursing,LVESD,LVEDD and scores of hostility,anxiety,paranoia,fear,depression,compulsion,somatization,interpersonal sensitivity and psychosis in the two groups decreased after nursing,which was higher in the control group than in the observation group(P<0.05).Compared with preoperative nursing,the left ventricular shortening fraction(FS)of left ventricle and the scores of vitality,emotional function,mental health,physiological function,physical pain,social function and physiological function in the two groups increased after nursing,which was lower in the control group than in the observation group(P<0.05).During the follow-up period,the rates of medication compliance,regular reexamination and nursing satisfaction in the control group were 82.0%,86.0%,80.0%,which were significantly lower than those in the observation group(96.0%,98.0%and 96.0%,P<0.05).During the follow-up period,The incidence of anticoagulation-related complications in the observation group was 6.0%,and the difference was not statistically significant compared with the control group(10.0%,P>0.05).Conclusions:Nursing patients undergoing valve replacement with cooperative medical care could

关 键 词：心脏瓣膜置换术 医护合作护理 护理模式 精神状态 依从性 心功能 

分 类 号：R54[医药卫生—心血管疾病]