多学科协作综合护理对冠心病PCI术患者疾病不确定感和生活质量的影响

Effects of multidisciplinary collaborative comprehensive nursing on uncertainty in illness and quality of life in patients with percutaneous coronary intervention treatment

目的探讨多学科协作综合护理对冠心病PCI术患者疾病不确定感和生活质量的影响。方法选取2017年2~11月收治该院心外科的冠心病PCI术患者69例,随机分为对照组34例和观察组35例。对照组给予心外科常规护理。观察组在常规护理的基础上,从入院到出院前1 d给予由医生、护士、心理师、营养师组成多学科协作的综合护理,在干预前后采用Mishel疾病不确定感量表和简明健康问卷(SF-36)评价两组干预效果。结果干预后观察组MUIS-FM总分(74.57±9.33)分,疾病不确定感处于低水平,SF-36总分(59.55±10.93)分;对照组MUIS-FM总分(101.46±10.50)分,疾病不确定感处于中水平,SF-36总分(54.56±9.31)分,两组比较差异有统计学意义(t值分别为8.636、8.472,均P<0.05)。两组患者MUIS-FM和SF-36各维度比较,差异均有统计学意义(均P<0.05)。结论对冠心病PCI术患者实施多学科协作综合护理能有效控制疾病不确定感,提高患者生活质量。

Objective To explore the effects of multidisciplinary cooperative comprehensive nursing on uncertainty in illness and quality of life in patients with percutaneous coronary intervention(PCI)treatment.Methods From February to November 2017,69 cases of coronary heart disease patients admitted to the department of cardiac surgery were randomly divided into the control group(34 cases)and the observation group(35 cases).The control group was given routine care of cardiac surgery.On the basis of routine nursing care,the observation group was given the multidisciplinary comprehensive nursing care composed of doctors,nurses,psychologists,nutritionists from admission to 1 day before discharge.Before and after the intervention,the Mishel disease uncertainty scale and the concise health questionnaire(SF-36)were used to evaluate the intervention effect of the two groups.Results After intervention,the total score of MUIS-FM in the observation group was(74.57±9.33)points,the sense of disease uncertainty was at a low level,and the total score of SF-36 was(59.55±10.93)points.The total score of MUIS-FM in the control group was(101.46±10.50)points,the sense of disease uncertainty was in the middle level,and the total score of SF-36 was(54.56±9.31)points.The differences were statistically significant(t=8.636,8.472,P<0.05).MUIS-FM and SF-36 of the two groups were compared in all dimensions,and the differences were statistically significant(P<0.05).Conclusions The implementation of multidisciplinary comprehensive nursing for patients with coronary heart disease PCI can effectively control the uncertainty of disease and improve the quality of life of patients.