康复护理对患者心脏瓣膜置换术后的干预效果  

Intervention Effect of Rehabilitation Nursing on Patients after Heart Valve Replacement

作　　者：谢静 杨和平 蒋丹丹[1] XIE Jing;YANG Heping;JIANG Dandan(Union Hospital Affiliated to Fujian Medical University,Fuzhou,Fujian Province,350001 China)

机构地区：[1]福建医科大学附属协和医院,福建福州350001

出　　处：《中外医疗》2024年第1期155-158,181,共5页China & Foreign Medical Treatment

基　　金：中国管理科学研究院教育科学研究所重点课题(JKSA22105)。

摘　　要：目的探讨康复护理对患者心脏瓣膜置换术后的干预效果。方法方便选取2021年3月—2023年3月福建医科大学附属协和医院接受心脏瓣膜置换术治疗的患者118例为研究对象,随机数表法分为对照组和观察组,各59例。对照组患者接受围术期常规护理,观察组患者在对照组常规护理基础上,加入康复护理。对比两组患者的生活质量及出院时护理满意度差异。结果术后48 h,观察组患者生活质量各维度评分[(62.18±5.39)分、(57.03±5.78)分、(62.31±5.39)分、(59.85±6.26)分、(58.37±6.20)分、(63.19±5.40)分、(56.94±6.22)分、(63.26±4.87)分]高于对照组,差异有统计学意义(t=5.128、5.618、5.030、6.107、6.685、4.942、3.528、6.677,P均<0.05)。出院当日,观察组患者自制护理满意度量表各个维度评分、平均护理满意度评分高于对照组,差异有统计学意义(P均<0.05)。结论康复护理有助于优化患者心脏瓣膜置换术后的生活质量、增加护理满意度,是一种理想的护理模式。Objective To explore the effect of rehabilitation nursing on the intervention of patients after heart valve re⁃placement.Methods From March 2021 to March 2023,118 patients who underwent cardiac valve replacement in Union Hospital Affiliated to Fujian Medical University were conveniently selected as the study subjects.According to random number table method,they were divided into control group and observation group,59 cases in each group.The patients in the control group received routine perioperative nursing,and the patients in the observation group received rehabilitation nursing on the basis of routine nursing in the control group.The quality of life and nursing satisfaction at discharge were compared between the two groups.Results At 48 h after operation,the scores of quality of life in the observation group[(62.18±5.39)points,(57.03±5.78)points,(62.31±5.39)points,(59.85±6.26)points,(58.37±6.20)points,(63.19±5.40)points,(56.94±6.22)points,(63.26±4.87)points]higher than those in the control group,the dif⁃ference was statistically significant(t=5.128,5.618,5.030,6.107,6.685,4.942,3.528,6.677,all P<0.05).On the day of discharge,the scores of each dimension of the self-made nursing satisfaction scale and the average nursing satisfac⁃tion score of the observation group were higher than those of the control group,and the differences were statistically significant(both P<0.05).Conclusion Rehabilitation nursing is an ideal nursing model,which is helpful to optimize the quality of life and increase nursing satisfaction of patients after heart valve replacement.

关 键 词：心脏瓣膜置换术 术后 康复护理 干预效果 生活质量 

分 类 号：R541[医药卫生—心血管疾病]