护理延伸服务在心脏瓣膜置换术术后的应用

Application of the extended nursing service to postoperative patients with cardiac valve replacement surgery

目的:探讨护理延伸服务在心脏瓣膜置换术术后的应用。方法:将220例行心脏瓣膜置换术术后患者随机分为对照组和观察组各110例,对照组采用常规围术期护理,观察组除采用常规围术期护理和出院指导外,实施出院后护理延伸服务。12个月后,比较两组患者疾病相关知识知晓率、抗凝治疗依从性。结果:12个月后观察组患者疾病相关知识知晓率、抗凝治疗依从性与对照组比较差异有统计学意义(P<0.05)。结论:对心脏机械瓣膜置换术术后患者实施护理延伸服务,可提高患者疾病相关知识知晓率,有效改善抗凝治疗依从性,使患者自觉采取有利于健康的行为方式,增强自我护理能力。

Objective ： To explore the application of the extended nursing service to postoperative patients with cardiac valve replacement surgery. Methods ：220 postoperative patients who received cardiac valve replacement surgery were randomly divided into the control group and the observation group （110 cases in each group }. The conventional perioperative nursing care was taken in the control group and the extended nursing service was provided for the discharged patients besides the conventional perioperative nursing care and discharge guid- mace in the observation group. After 12 months, the awareness rate of the knowledge about the disease and the compliance of anticoagulant treatment were compared between the two groups. Results ： There were statistically significant differences in the comprison of the awareness rate of the knowledge about the disease and the compliance of anticoagulant treatment between the two groups after 12 months （ P 〈 0.05 }. Conclusion ：The implementation of the extended nursing services can increase the awareness rate of the knowledge about the disease in the postoperative patients with cardiac valve replacement surgery and it can effecitvely improve the patient＇s compliance behavior of anticoagulant therapy, thus the patients can consciously adopt healthy behavior and their self - care ability can also be enhanced.