机械心脏瓣膜术后患者自我管理行为的研究

Research for self-management action of patient suffered from mechanical heart valve post-operation

目的探讨机械心脏瓣膜术后患者行为的自我管理。方法将168例机械心脏瓣膜术后患者随机分为干预组86例和对照组82例。干预组患者在常规药物治疗的同时给予有针对性的自我管理教育，而对照组患者在常规药物治疗的同时则行常规健康教育，分别于治疗护理1年后采用“自我管理行为量表”对两组患者进行测定，评估两组患者的自我管理行为，并应用中文版SF-36量表对两组患者进行评价，比较两组患者的生活质量（QOL）。结果治疗护理1年后，干预组患者的自我管理行为量表及SF-36量表的各项评分均明显高于对照组，两组比较差异均有统计学意义（P〈0．01）。结论自我管理教育可帮助患者建立良好的健康行为模式，能提高患者自我管理疾病的能力，减少并发症的发生，从而促进康复，达到提高机械心脏瓣膜术后患者生活质量的目的。

Objective To explore the self-man^gement action of patient suffered from mechanical heart valve past-operation. Methods 168＂cases of the patients suffered from the mechanical heart valve post-operation were separately divided into 86 cases as the interference group and 82 cases as control group at random. The interference group was given for the normal medical treatment and also objective self-management education but the control group used normal medical treatment and also health education. Two groups of the patients were tested by ＂Serf-Management Action Measurement Form＂ separately to assess the self-management action and also were assessed by Chinese version of SF-36 Measurement Form for the assessment of two groups of the patients for the comparison of the patients of two groups in living quality（QOL） one year after treatment and nursing. Results The various items of assessments of interference group were higher than the comparison group in self-management action measurement form SF-36 Measurement Form with the difference of statistics meaning（P 〈0. O1 ） averagely for the comparison of two groups one year after the treatment and nursing. Condusions The self-management education can help the patients to set up a good action mode and improve the patients＇ self-management disease ability, reduce the occurrence of the complication to improve health and reach to raise living quality of the patients suffered from mechanical heart valve post-operation for purpose.