基于互述术教育和情景模拟的延续性护理对心脏瓣膜置换术术后患者疾病管理能力及预后的影响  

Effects of continuous care based on interactive education and scenario simulation on disease management ability and prognosis of patients after heart valve replacement

作　　者：程娟娟 吴姗姗 李大爱 Cheng Juanjuan;Wu Shanshan;Li Daai(Department of Cardiology and Macrovascular Surgery,Nanyang Central Hospital,471003,China)

机构地区：[1]南阳市中心医院心脏大血管外科,471003

出　　处：《国际护理学杂志》2022年第13期2468-2472,共5页international journal of nursing

基　　金：河南省医学科技攻关计划项目(2018072115)。

摘　　要：目的探讨基于互述式教育和情景模拟的延续性护理对心脏瓣膜置换术术后患者疾病管理能力及预后的影响。方法2019年1~12月选取南阳市中心医院心外科收治的HVR患者68例,根据随机数字表将患者分为观察组和对照组,各34例。对照组术后行常规延续护理,观察组应用互述式教育结合情景模拟实施延续护理,随访时间为6个月。比较两组患者的疾病管理能力、预后情况及生活质量。结果干预后观察组膳食管理、运动锻炼、并发症管理、情绪管理及疾病管理能力总评分高于对照组,差异均有统计学意义(均P<0.05)。观察组心肌梗死、心绞痛发生率、抗凝过度出血发生率及再住院率低于对照组,差异均有统计学意义(均P<0.05)。干预后观察组生理领域、心理领域、独立性领域、环境领域、社会关系领域及生活质量总评分高于对照组,差异均有统计学意义(均P<0.05)。结论互述式教育结合情景模拟能有效提高HVR患者出院后的疾病管理能力,降低患者出院后心血管事件及再入院率,提高患者的生活质量。Objective To explore the effect of continuous care based on interactive education and scenario simulation on disease management ability and prognosis of patients after heart valve replacement.Methods From January to December 2019,68 cases of heart valve replacement patients admitted to the Department of Cardiology of Nanyang Central Hospital were selected and divided into observation group and control group according to random number table,with 34 patients in each group.The control group received routine continuing care after operation,while the observation group applied interactive education combined with scenario simulation to implement continuous care.The follow-up time was 6 months.The disease management ability,prognosis and quality of life were compared between the two groups.Results After intervention,the total scores of dietary management,exercise,complication management,emotion management and disease management in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of myocardial infarction,angina pectoris,anticoagulant excessive bleeding and rehospitalization in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the total scores of physiological fields,psychological fields,independence fields,environment fields,social relations fields and quality of life in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions Interactive education combined with scenario simulation can effectively improve the disease management ability of patients undergoing heart valve replacement surgery after discharge,reduce the rate of cardiovascular events and readmission,and improve the quality of life of patients.

关 键 词：互述式教育 情景模拟 心脏瓣膜置换术 延续护理 心血管事件 生活质量 

分 类 号：R473.6[医药卫生—护理学]