延续性护理联合心理干预对先天性心脏病患儿生存质量的影响  

Effects of continuous nursing combined with psychological intervention on the recovery and life quality of children with congenital heart disease

作　　者：董焕英[1] 刘萍[1] 尚玮 崔茜 DONG Huanying;LIU Ping;SHANG Wei(Cardiovascular Center,Beijing Tongren Hospital Affiliated to Capital Medical University,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京同仁医院心血管中心,北京市100730

出　　处：《河北医药》2022年第3期467-470,共4页Hebei Medical Journal

摘　　要：目的探讨延续性护理联合心理干预对先天性心脏病患儿干预后恢复及生存质量的影响。方法选取2018年1月至2020年1月收治的先天性心脏病患者87例,按照随机数字表法分为观察组(43例)和对照组(44例)。对照组患者采用常规护理干预,观察组采用延续性护理联合心理干预。观察2组患者一般资料(包括性别、年龄、心功能分级、先心病类型等),恢复情况(卧床时间、住院时间、用药依从性),干预前后HKRA评分,干预前后生存质量评分,护理满意度。结果观察组卧床时间、住院时间均显著少于对照组(P<0.05),观察组用药依从性显著高于对照组(P<0.05);2组患者干预前后HKRA评分比较差异有统计学意义(P<0.05),2组患者干预前HKRA评分比较差异无统计学意义(P>0.05),干预后2组患者HKRA评分均较干预前明显改善,观察组干预后1个月、干预后3个月、干预后6个月患者HKRA评分明显高于对照组(P<0.05);2组患者干预前后生存质量评分比较差异有统计学意义(P<0.05),2组患者干预前生存质量评分差异无统计学意义(P>0.05),干预后2组患者生存质量评分均较干预前显著改善,观察组干预后1个月、干预后3个月、干预后6个月患者生存质量评分明显高于对照组(P<0.05);观察组患者护理满意度(健康教育、主动服务、心理支持、工作态度、关爱、总体服务)显著高于对照组,差异均有统计学意义(P<0.05)。结论延续性护理联合心理干预能有效改善先天性心脏病患儿心理状态、促进术后恢复,提高其生存质量,值得推广。Objective To investigate the effects of continuous nursing combined with psychological intervention on the recovery and life quality of children with congenital heart disease.Methods A total of 87 patients with congenital heart disease who were treated in our hospital from January 2018 to January 2020 were enrolled in the study,who were randomly divided into observation group(n=43)and control group(n=44).The patients in control group were treated by routine nursing intervention,however,the patients in observation group were treated by continuous nursing combined with psychological intervention.The general information(including gender,age,cardiac function classification,type of congenital heart disease),recovery status(bed time,hospitalization time,medication compliance),HKRA score and life quality before and after the intervention,and nursing satisfaction degree were observed and compared between the two groups.Results The bed rest time and hospitalization time in observation group were significantly shorter than those in control group(P<0.05),and the medication compliance in observation group was superior to that in control group(P<0.05).Before intervention there were no significant differences in HKRA scores between the two groups(P>0.05),after intervention there were significant differences in HKRA scores between the two groups(P<0.05).Moreover the HKRA scores at 1m,3m and 6m after intervention in observation group were significantly higher than those in control group(P<0.05).The repeated analysis of variance showed that the life quality scores at 1m,3m and 6m after intervention in observation group were significantly higher than those in control group(P<0.05).In addition the nursing satisfaction levels in observation group were significantly higher than those in control group(P<0.05).Conclusion The continuous nursing combined with psychological intervention can effectively improve the psychological state of children with congenital heart disease,promote postoperative recovery and improve life quality of patie

关 键 词：先天性心脏病 儿童护理 生存质量 心理干预 延续性护理 

分 类 号：R725.4[医药卫生—儿科]