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目的探讨延续护理对心脏瓣膜置换术后出院患者生活质量的影响。方法2013年8月至2014年5月,便利抽样法选取在柳州市人民医院治疗的心脏瓣膜置换术后患者100例为研究对象。按随机数字表法将其分为观察组和对照组,每组50例。观察组采用心脏瓣膜置换术后患者自我管理行为模式对患者进行延续护理干预;而对照组患者进行常规护理,干预期为6个月。比较两组患者出院时、出院后6个月自我管理行为、自我效能感、健康状态、遵医行为、抗凝治疗并发症发生情况及患者的满意度。结果出院时,观察组与对照组患者的自我管理行为得分、自我效能感得分、健康状态得分的差异均无统计学意义(均P>0.05);出院6个月后,观察组与对照组患者的自我管理行为得分、自我效能感得分、健康状态得分的差异均有统计学意义(P<0.05);且两组患者的自我管理行为得分、自我效能感得分、健康状态得分均高于出院时,差异均有统计学意义(均P<0.05)。结论延续护理可减少心脏瓣膜置换术后的并发症,促进患者的康复,提高患者的生活质量。
Objective To investigate the effect of continuous nursing on the quality of life of discharged patients after heart valve replacement. Methods From August 2013 to May 2014, 100 cases of heart valve replacement patients treated in Liuzhou People’s Hospital were selected as the convenience sample method. According to the random number table method, it was divided into observation group and control group, 50 cases in each group. Patients in the observation group underwent continuous nursing intervention with self-management behavior pattern after heart valve replacement. Patients in control group received routine nursing intervention for 6 months. The two groups were compared at discharge, 6 months after discharge from self-management behavior, self-efficacy, health status, compliance, anticoagulant complications and patient satisfaction. Results At discharge, there were no significant differences in scores of self-management behavior, scores of self-efficacy and scores of state of health between the observation group and the control group (all P> 0.05). After 6 months of discharge, the patients in the observation group and the control group (P <0.05) .And scores of self-management behavior, self-efficacy and health status in both groups were significantly higher than those at discharge , The differences were statistically significant (all P <0.05). Conclusion Continuation of care can reduce the complications after heart valve replacement, promote patient rehabilitation and improve the quality of life of patients.