基于时机理论框架的护理干预对房颤冷冻消融术患者康复效果的分析  

作　　者：郑爱娣[1] 王咏梅[1] 徐静[1] 

机构地区：[1]杭州市第一人民医院,310006

出　　处：《浙江临床医学》2024年第2期275-277,共3页Zhejiang Clinical Medical Journal

基　　金：浙江省医药卫生科技计划项目(2020KY208);杭州市医学重点学科项目(OO20200121)。

摘　　要：目的探讨基于时机理论为框架的护理干预对房颤冷冻消融术患者治疗依从性、生活方式、复发率等康复效果的影响。方法采用随机数字法,将2020年10月至2021年7月本院心内科住院房颤冷冻消融术后入选的患者101例随机分成观察组50例和对照组51例。对照组给予心内科常规护理和随访干预,观察组在对照组的基础上实施以时机理论为框架的护理干预,分别于出院1个月、3个月、6个月,比较两组患者的治疗依从性、生活方式、健康行为评分、房颤复发率。结果(1)治疗依从性:服药依从性观察组均优于对照组,存在显著差异(P<0.01);门诊复查,出院1个月时差异无统计学意义,出院3个月和6个月时差异均存在统计学意义(P<0.01)。(2)体质量指数和睡眠时间:出院6个月时,两组患者体质量指数和睡眠时间比较差异具有统计学意义(P<0.05)。(3)生活方式改变:出院1个月时,除不良饮食和体质量指数,其它指标观察组均优于对照组,差异具有统计学意义(P<0.05);出院3个月时,除了饮酒和体质量指数,观察组指标均优于对照组(P<0.05);出院6个月时,除了饮酒,其它指标均优于对照组(P<0.05)。(4)健康行为:观察组患者的健康相关行为总分显著高于对照组,差异均有统计学意义(P<0.01)。(5)房颤复发率:观察组的复发率低于对照组(P<0.05)。结论以时机理论为框架的护理干预模式能够有效提高患者的治疗依从性,改善不良生活方式,降低房颤复发率。Objective To explore the effects of nursing intervention based on timing it right on treatment compliance,lifestyle and recurrence rate of patients with atrial fibrillation.Methods 101 cases were selected and randomly divided into two groups by random number table,with 50 cases in the test group and 51 cases in the control group.The control group was treated with routine nursing measures in the department of Cardiology and follow-up after discharge,while the test group was treated with nursing intervention based on time it right except routine nursing measures and follow-up.Intervention compliance,lifestyle,health behavior score,and recurrence rate of patients with atrial fibrillation were compared between two groups at 1 month,3 months,6 months after discharge.Results(1)Treatment compliance:the medication compliance of the test group was better than that of the control group,with significant difference(P<0.01).In outpatient reexamination,there was no significant difference at 1 month after discharge,but there was significant difference at 3 and 6 months after discharge(P<0.01).(2)Body mass index(BMI)and sleep time:at 6 months after discharge,the BMI and sleep time of the two groups were statistically significant(P<0.05).(3)Lifestyle changes:at the first month after discharge,except for poor diet and BMI,other indexes in the test group were better than those in the control group,with statistical difference(P<0.05).At 3 months after discharge,except for drinking and BMI,the indexes of the test group were better than those of the control group(P<0.05).At 6 months after discharge,except for drinking,other indexes in the control group were better than those in the control group(P<0.05).(4)Health behavior:the total score of health-related behavior in the test group was significantly higher than that in the control group(P<0.01).(5)Recurrence rate of atrial fibrillation:by the end of the study,the recurrence rate of the test group was lower than that of the control group(P<0.05).Conclusion The nursing intervention mode

关 键 词：时机理论 护理干预 心房颤动 治疗依从 

分 类 号：R473.5[医药卫生—护理学]