共享决策理论康复护理在老年心脏手术患者术后恢复中的应用效果  

Observation on the Application Effect of Rehabilitation Nursing Based on Shared Decision Theory in the Recovery of Elderly Patients After Heart Surgery

作　　者：彭艳[1] 李慧[1] 时静 Peng Yan;Li Hui;Shi Jing(Orthopaedics DivisionⅠCardiac Surgery Thoracic Surgery DivisionⅡ,Jiaozuo Second People’s Hospital,Jiaozuo,Henan,454000,China;不详)

机构地区：[1]焦作市第二人民医院骨科一区心脏外科胸外科二区,河南焦作454000 [2]焦作市第二人民医院胸外科一区,河南焦作454000

出　　处：《黑龙江医学》2024年第18期2270-2273,共4页Heilongjiang Medical Journal

摘　　要：目的:探讨共享决策理论的康复护理在老年心脏手术患者术后恢复中的应用效果。方法:选取2020年4月—2023年4月焦作市第二人民医院收治的94例老年心脏手术患者作为研究对象,按随机数表法分两组,每组各47例。对照组采取常规康复护理,观察组采取共享决策理论的康复护理,持续至术后3个月。对比两组患者心理状态、自护能力、心功能恢复情况、生活质量、并发症发生率及护理满意度。结果:护理后,观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分的低于对照组,差异均有统计学意义(t=5.786、7.742,P<0.05);护理后,观察组自我护理能力测定量表(ESCA)评分高于对照组,差异均有统计学意义(t=6.868、9.767、8.107、5.534,P<0.05);护理后,观察组左心射血分数(LVEF)水平高于对照组,左室舒张末期内径(LVEDD)、左室收缩末期内径(LVESD)水平低于对照组,差异均有统计学意义(t=1.356、5.864、6.641,P<0.05);护理后,观察组生活质量评定问卷(CQQC)中的各维度评分均高于对照组,差异均有统计学意义(t=6.191、7.267、6.765、7.446、9.386、6.408,P<0.05);观察组并发症发生率低于对照组,观察组护理满意度高于对照组,差异均有统计学意义(χ^(2)=5.045、5.371,P<0.05)。结论:共享决策理论的康复护理能减轻老年心脏手术患者负性情绪,提高自护能力,促进心功能恢复,从而改善生活质量,提高护理满意度。Objective:To explore the application effect of shared decision-making theory in rehabilitation nursing for elderly patients undergoing cardiac surgery.Methods:94 elderly cardiac surgery patients admitted to the hospital from April 2020 to April 2023 were selected and randomly divided into two groups,with 47 patients in each group.The control group received routine rehabilitation care,while the observation group received rehabilitation care based on shared decision-making theory,which lasted until 3 months after surgery.The psychological status,self-care ability,recovery of cardiac function,quality of life,incidence of complications,and nursing satisfaction between the two groups were compared.Results:After nursing,the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)of the observation group were lower than those of the control group,and the difference was statistically significant(t=5.786,7.742;P<0.05).After nursing,the self-care ability scale(ESCA)score of the observation group was higher than that of the control group,and the difference was statistically significant(t=6.868,9.767,8.107,5.534;P<0.05).After nursing,the left ventricular ejection fraction(LVEF)level in observation group was higher than that in control group,the left ventricular end-diastolic diameter(LVEDD)and left ventricular end-systolic diameter(LVESD)levels were lower than that in control group,with statistically significant difference(t=1.356,5.864,6.641;P<0.05).After nursing,the scores of CQQC in the observation group were higher than those in the control group,and the difference was statistically significant(t=6.191,7.267,6.765,7.446,9.386,6.408;P<0.05).The complication rate of the observation group was lower than that of the control group,and the nursing satisfaction of the observation group was higher than that of the control group,with statistically significant difference(χ^(2)=5.045,5.371;P<0.05).Conclusion:The rehabilitation nursing based on shared decision-making theory can alleviate negative emotions in elderly pati

关 键 词：心脏手术 共享决策理论 康复护理 心理状态 自护能力 心功能 生活质量 

分 类 号：R49[医药卫生—康复医学]