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目的研究风湿性心脏病三瓣膜同期置换患者的围术期综合护理干预效果。方法以2015年1月1日~2017年1月1日风湿性心脏病三瓣膜同期置换患者200例随机分两组。常规组围术期进行常规护理干预,综合组围术期进行综合护理干预。比较两组患者围术期护理满意度;平均住院天数、手术治疗依从性情况、护理服务质量评分;护理前和护理后患者生存质量情况、心功能指标的差异,并比较两组患者手术并发症的发生率。结果综合组患者围术期护理满意度高于常规组,P<0.05;综合组平均住院天数、手术治疗依从性情况、护理服务质量评分优于常规组,P<0.05;护理前两组生存质量情况、心功能指标比较无显著差异,P>0.05;护理后综合组生存质量情况、心功能指标改善幅度更大,P<0.05。综合组患者手术并发症的发生率显著低于常规组,P<0.05。结论风湿性心脏病三瓣膜同期置换患者的围术期综合护理干预效果确切,护理服务质量高,患者手术依从性良好,可有效改善患者临床症状和心功能,减少并发症的发生,缩短住院时间,提高围术期护理满意度,值得推广。
Objective To study the effect of perioperative comprehensive nursing intervention in patients with rheumatic heart disease three valve replacement. Methods From January 1, 2015 to January 1, 2017, 200 patients with rheumatic heart disease three-valve simultaneous replacement were randomly divided into two groups. The routine group received routine nursing intervention during perioperative period, and comprehensive nursing intervention during the perioperative period in the comprehensive group. The two groups were compared in terms of satisfaction rate of perioperative nursing; average days of hospitalization, compliance with surgical treatment, scores of quality of care service; quality of life before and after care and cardiac function, and comparisons of surgical complications The incidence of. Results The satisfaction rate of perioperative nursing in the integrated group was higher than that in the conventional group (P <0.05). The average length of stay in the comprehensive group, the compliance of the operation and the quality of care service were better than those in the conventional group (P <0.05). The quality of life There was no significant difference in cardiac function index between the two groups (P> 0.05). After the care, the quality of life and heart function improved more significantly in the comprehensive group (P <0.05). The incidence of complications in the comprehensive group was significantly lower than that in the conventional group (P <0.05). Conclusions Perioperative comprehensive nursing intervention for rheumatic heart disease patients with triple valve replacement is effective, with high quality of care services and good surgical compliance. It can effectively improve the clinical symptoms and cardiac function, reduce the incidence of complications and shorten the hospital stay , Improve perioperative nursing satisfaction, it is worth promoting.