家庭赋权护理在心脏瓣膜置换术后患者康复中的应用价值  

The application value of family empowerment nursing in the rehabilitation of patients after heart valve replacement surgery

作　　者：杨莹秋 YANG Yingqiu(Guilin People's Hospital,Guilin,541002,China)

机构地区：[1]广西壮族自治区桂林市人民医院心脏中心三病区,541002

出　　处：《护理实践与研究》2023年第10期1504-1509,共6页Nursing Practice and Research

摘　　要：目的探讨家庭赋权护理对心脏瓣膜置换术后患者康复的影响。方法选取医院2021年1—12月108例实施过人工心脏瓣膜置换术患者为研究对象,按照组间基本特征具有可比性的原则分为观察组与对照组。对照组采用常规护理,观察组在对照组的基础上联合家庭赋权护理,比较两组干预前后的术后凝血功能、抗凝治疗并发症发生率、心脏功能、治疗依从性、生活质量以及患者的满意程度。结果家庭赋权护理干预前,两组凝血活酶时间(APTT)、凝血酶原时间(PT)、纤维蛋白原(FBG)、国际标准化比值(INR)比较差异无统计学意义(P>0.05);干预后,观察组APTT、PT、FBG、INR水平低于对照组,差异有统计学意义(P<0.05)。家庭赋权护理干预前,两组患者左室射血分数(LVEF)、左室舒张末期内径(LVEDD)、6分钟步行距离(6MWD)比较差异无统计学意义(P>0.05);干预后,观察组LVEF、LVEDD水平高于对照组(P<0.05),6MWD长于对照组,差异有统计学意义(P<0.05)。家庭赋权护理干预前两组患者治疗依从性评分比较,差异无统计学意义(P>0.05);干预后,观察组治疗依从性评分、生活质量评定问卷(CQQC)评分高于对照组,差异有统计学意义(P<0.05)。家庭赋权护理干预后,观察组护理满意度各维度评分高于对照组,差异有统计学意义(P<0.05)。家庭赋权护理干预后观察组总并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论家庭赋权护理在心脏瓣膜置换患者术后康复中应用,可以帮助患者改善凝血功能、心功能,减少抗凝治疗并发症发生率,提高治疗依从性和生活质量,且护理满意程度得到了一定程度的提升。Objective To explore the effect of family empowerment nursing in the rehabilitation of patients after heart valve replacement surgery.Methods To select 108 patients who underwent artifi cial heart valve replacement surgery in the hospital from January to December 2021 as the research subjects,and were divided into an observation group and a control group based on the principle of comparability of basic characteristics between groups.The control group received routine care,while the observation group received family empowerment care on the basis of the control group.The postoperative coagulation function,incidence of anticoagulation treatment complications,cardiac function,treatment compliance,quality of life,and patient satisfaction before and after intervention were compared between the two groups.Results Before family empowerment nursing intervention,there was no significant difference in the activated partial thromboplastin time(APTT),prothrombin time(PT),fibrinogen(FBG)and international normalized ratio(INR)between the two groups(P>0.05).After intervention,the levels of APTT,PT,FBG and INR in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Before family empowerment nursing intervention,there was no significant difference in the left ventricular ejection fractions(LVEF),left ventricular end-diastolic diameter(LVEDD)and 6 minutes walking distance(6MWD)between the two groups(P>0.05).After intervention,the levels of LVEF and LVEDD in the observation group were higher than those in the control group,the 6MWD was longer than that in the control group,the differences were statistically significant(P<0.05).Before family empowerment nursing intervention,there was no significant difference in the treatment compliance score between the two groups(P>0.05).After intervention,the treatment compliance score and China questionnaire of quality of life in patients with cardiovascular diseases(CQQC)score in the observation group were higher than those in th

关 键 词：家庭赋权护理 心脏瓣膜置换术 抗凝治疗 康复 并发症 满意程度 

分 类 号：R473[医药卫生—护理学]