延续护理对重症风湿性心脏瓣膜病患者术后的影响(1)
【摘要】 目的：分析延續性护理干预对重症风湿性心脏瓣膜患者术后的影响。方法：选取本院2017年2月-2019年2月收治的200例行心脏瓣膜置换术的重症风湿性心脏瓣膜病患者为研究对象，将其随机均分为两组，每组100例。常规组采用传统护理干预，研究组采用延续性护理干预。对比两组患者生存质量评分和抗凝治疗相关知识掌握程度的差异。结果：(1)干预前两组患者生存质量评分比较，差异无统计学意义(P>0.05);干预后，两组患者各项评分均明显优于干预前，且研究组的健康情况、生理领域、心理领域、社会关系领域、环境领域、家庭领域、饮食领域及生存质量总体评分明显优于常规组(P<0.05);(2)干预前，两组患者抗凝治疗有关知识掌握程度差异无统计学意义(P>0.05);干预后，研究组显著高于常规组(P<0.05)。结论：延续性护理干预可明显改善重症风湿性心脏瓣膜置换术后患者的生存质量，提高抗凝治疗有关内容的掌握水平，建议在临床护理中广泛应用。
【关键词】 延续性护理 心脏瓣膜置换术 风湿性心脏病 生存质量
doi：10.14033/j.cnki.cfmr.2020.22.047 文献标识码 B 文章编号 1674-6805(2020)22-0-03
[Abstract] Objective： To analyze the effect of continuous nursing intervention on postoperative patients with severe rheumatic heart valve disease. Method： A total of 200 patients with severe rheumatic heart valve disease who underwent heart valve replacement in our hospital from February 2017 to February 2019 were selected as the research subjects， and they were randomly divided into two groups， 100 cases in each group. The conventional group was treated with traditional nursing intervention. The study group used continuous nursing intervention. Differences in quality of life assessment scores and knowledge of anticoagulation therapy were compared between the two groups of patients. Result： (1) There were no significant differences in the quality of life scores between the two groups of patients before the intervention (P>0.05). After the intervention， the scores of the two groups were significantly better than those before the intervention， and the overall scores of health， physiology， psychology， social relations， environment， family， diet and quality of life dimensions in the study group were significantly better than those in the conventional group (P<0.05). (2) Before the intervention， there were no significant differences in the knowledge of anticoagulation between the two groups of patients (P>0.05). After the intervention， the indicators in the study group were significantly higher than those in the conventional group (P<0.05). Conclusion： Continuing nursing intervention can obviously improve the quality of life of patients with severe rheumatic heart valve replacement， and improve the mastery of relevant content of anticoagulation therapy. It is recommended to be widely used in clinical nursing.
[Key words] Continuous nursing Heart valve replacement Rheumatic heart disease Quality of life
First-author’s address： Qilu Hospital of Shandong University， Ji’nan 250000， China, 百拇医药(战祥巧)
【关键词】 延续性护理 心脏瓣膜置换术 风湿性心脏病 生存质量
doi：10.14033/j.cnki.cfmr.2020.22.047 文献标识码 B 文章编号 1674-6805(2020)22-0-03
[Abstract] Objective： To analyze the effect of continuous nursing intervention on postoperative patients with severe rheumatic heart valve disease. Method： A total of 200 patients with severe rheumatic heart valve disease who underwent heart valve replacement in our hospital from February 2017 to February 2019 were selected as the research subjects， and they were randomly divided into two groups， 100 cases in each group. The conventional group was treated with traditional nursing intervention. The study group used continuous nursing intervention. Differences in quality of life assessment scores and knowledge of anticoagulation therapy were compared between the two groups of patients. Result： (1) There were no significant differences in the quality of life scores between the two groups of patients before the intervention (P>0.05). After the intervention， the scores of the two groups were significantly better than those before the intervention， and the overall scores of health， physiology， psychology， social relations， environment， family， diet and quality of life dimensions in the study group were significantly better than those in the conventional group (P<0.05). (2) Before the intervention， there were no significant differences in the knowledge of anticoagulation between the two groups of patients (P>0.05). After the intervention， the indicators in the study group were significantly higher than those in the conventional group (P<0.05). Conclusion： Continuing nursing intervention can obviously improve the quality of life of patients with severe rheumatic heart valve replacement， and improve the mastery of relevant content of anticoagulation therapy. It is recommended to be widely used in clinical nursing.
[Key words] Continuous nursing Heart valve replacement Rheumatic heart disease Quality of life
First-author’s address： Qilu Hospital of Shandong University， Ji’nan 250000， China, 百拇医药(战祥巧)