风湿性心脏病瓣膜置换术患者应用双心护理联合放松训练的效果分析  

Analysis of the Effect of Patients with Rheumatic Heart Disease Undergoing Valve Replacement Surgery after Dual Heart Nursing Combined with Relaxation Training

作　　者：周素密[1] 张海浩[1] 丁惠娜 ZHOU Sumi;ZHANG Haihao;DING Huina(First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属第一医院,厦门361000

出　　处：《世界睡眠医学杂志》2024年第3期656-659,共4页World Journal of Sleep Medicine

摘　　要：目的:分析风湿性心脏病瓣膜置换术患者应用双心护理联合放松训练后睡眠质量、自我管理能力的改善情况。方法:选取2021年6月至2023年4月厦门大学附属第一医院收治的风湿性心脏病患者99例作为研究对象,按照随机数字表法分为对照组(n=49)和观察组(n=50)。对照组给予常规护理干预,观察组给予双心护理联合放松训练干预,2组患者均护理2周。采用生命质量综合评定问卷(GQOLI)对患者护理前后生命质量进行评估,采用睡眠状况自评量表(SRSS)对护理前后睡眠质量进行评估,比较2组患者的护理依从性,采用8项Morisky服药依从性量表(MMAS-8)评估患者服药依从性,采用自制问卷评估患者护理依从性及自我管理能力,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)比较2组患者焦虑、抑郁症状改善情况,比较2组患者各项临床指标。结果:护理后,2组患者GQOLI各项评分、护理依从性、服药依从性及自我管理能力得分均升高,且观察组显著高于对照组,SRSS各项评分、SDS、SAS得分均降低,且观察组显著低于对照组,差异均有统计学意义(均P<0.05)。结论:风湿性心脏病瓣膜置换术患者应用双心护理联合放松训练可有效改善生活、睡眠质量,提高护理依从性、服药依从性及自我管理能力,并减轻负面情绪,值得临床推广应用。Objective:To analyze the improvement of sleep quality and self-management ability in patients undergoing rheumatic heart valve replacement surgery after the application of dual heart nursing combined with relaxation training.Methods:A total of 99 patients with rheumatic heart disease admitted to the First Affiliated Hospital of Xiamen University from June 2021 to April 2023 were selected as the study subjects.They were randomly divided into a control group(n=49)and an observation group(n=50)using a random number table method.The control group received routine nursing intervention,while the observation group received dual heart nursing combined with relaxation training intervention.Both groups of patients received 2 weeks of nursing.The Generic Quality of Life Inventory(GQOLI)was used to evaluate the quality of life of patients before and after nursing care.The Self-rating Sleep Scale(SRSS)was used to evaluate the sleep quality before and after nursing care.The nursing compliance of two groups of patients was compared.The 8-item Morisky Medication Adherence Scale(MMAS-8)was used to evaluate the patient′s medication compliance.A self-made questionnaire was used to evaluate the patient′s nursing compliance and self-management ability.The Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used to compare the improvement of anxiety and depression symptoms in the two groups of patients,and various clinical indicators were compared.Results:After nursing,the GQOLI scores,nursing compliance,medication compliance,and self-management ability scores of the two groups of patients all increased,and the observation group was significantly higher than the control group.The SRSS scores,SDS scores,and SAS scores all decreased,and the observation group was significantly lower than the control group.The differences between the two groups were statistically significant(P s<0.05).Conclusion:The application of dual heart nursing combined with relaxation training in patients undergoing valve replacement surgery

关 键 词：风湿性心脏病 瓣膜置换术 双心护理 放松训练 睡眠质量 焦虑 抑郁 

分 类 号：R541.2[医药卫生—心血管疾病] R338.63[医药卫生—内科学]