基于协同护理模式的心脏康复对永久性起搏器植入患者自我管理行为、照顾者照顾能力的影响  

Effects of cardiac rehabilitation based on a collaborative care model on self-management behaviors,and caregiver caregiving abilities in patients with permanent pacemaker implants

作　　者：张密 马先莉 Zhang Mi;Ma Xianli(Department of Cardiology,Affiliated Hospital of Xuzhou Medical University,Xuzhou 221000,China)

机构地区：[1]徐州医科大学附属医院心内科,徐州221000

出　　处：《国际护理学杂志》2024年第6期989-995,共7页international journal of nursing

基　　金：江苏省卫生健康委医学科研项目(H201991)。

摘　　要：目的探讨基于协同护理模式的心脏康复干预对永久性起搏器植入患者自我管理行为、生活质量的影响。方法将徐州医科大学附属医院2020年8月至2022年7月收治的100例植入永久性起搏器患者作为研究对象,按时间点分成对照组和观察组。将2020年8月至2021年7月收治的50例患者纳入对照组,2021年8月至2022年7月收治的50例患者纳入观察组。对照组采用常规康复的方法,观察组在对照组基础上采用基于协同护理模式的心脏康复干预。比较干预前、干预后6个月两组患者的心功能分级评估情况、自我管理能力、并发症、生活质量、遵医行为、照顾者照顾能力等。结果两组患者干预前、干预后6个月两组患者的心功能分级评估、自我管理能力、生活质量、照顾者照顾能力等组内、组间差异均有统计学意义(P时间<0.05、P组间<0.05),观察组遵医行为、并发症发生率等指标好于对照组,差异有统计学意义(均P<0.05)。结论通过对永久性起搏器植入患者采用基于协同护理模式的心脏康复,有利于提高患者的遵医行为、照顾者的照顾能力、自我管理能力,降低并发症的发生率,改善患者心功能,提高生活质量。Objective To explore the effects of collaborative nursing mode of cardiac rehabilitation intervention on self-management behavior and quality of life of patients with permanent pacemaker implantation.Methods A total of 100 patients with permanent pacemaker implantation admitted from August 2020 to July 2022 were divided into control group and observation group according to time point.Fifty patients admitted from August 2020 to July 2021 were included in the control group,and 50 patients admitted from August 2021 to July 2022 were included in the observation group.The control group was treated with conventional rehabilitation method,and the observation group was treated with cardiac rehabilitation intervention based on collaborative nursing mode.Cardiac function grading assessment,self-management ability,complications,quality of life,compliance behavior,caregiver care ability and so on were compared between the two groups before intervention and 6 months after intervention.Results Before intervention and 6 months after intervention,there were statistically significant differences in cardiac function grading,self-management ability,quality of life and caregiver care ability between the two groups(Ptime<0.05,Pgroup<0.05).Compliance behavior and complication rate in observation group were statistically significant compared with control group(P<0.05).Conclusions Cardiac rehabilitation based on collaborative nursing model for patients with permanent pacemaker implantation is beneficial to improve patients′compliance behavior,caregivers′caring ability and self-management ability,reduce the incidence of complications,improve patients′cardiac function and improve their quality of life.

关 键 词：协同护理模式 心脏康复 永久性起搏器 自我管理行为 生活质量 

分 类 号：R473.5[医药卫生—护理学]