医院—社区无缝隙延续照护模式对心脏瓣膜置换术后患者生活质量的研究

Research on hospital-to-home seamless continuous nursing care mode on quality of life for patients after cardiac valve replacement

目的观察医院—社区无缝隙延续照护模式对心脏瓣膜置换术后患者生活质量的影响。方法将80例患者按是否纳入本院适宜技术社区服务中心分组,观察组35例、对照组45例。对照组给予常规的出院指导,观察组在常规出院指导的基础上实施医院—社区无缝隙延续照护模式干预。分别于干预前、干预后6个月评价患者生活质量、焦虑心理差异和并发症发生情况。结果观察组术后生活质量、焦虑心理均优于对照组,差异具有统计学意义(P<0.05);观察组并发症发生率低于对照组,但差异无统计学无意义。结论医院—社区无缝隙延续照护模式能有效提高心脏瓣膜置换术后患者的生活质量。

Objective To observe the effect of hospital-to-home seamless continuous nursing care mode on quality of life for patients after cardiac valve replacement.Method Divide 80 patients into observation group（n=35）and control group（n=45）according to whether they are suitable for community health care center.Patients in control group receive routine discharge guidance.Patients in observation group receive hospital-to-home seamless continuous nursing intervention based on routine care.Assess patients＇ quality of life,difference on anxiety and complications before and 6months after intervention.Result Postoperative quality of life and anxiety in observation group are better than in control group.The difference is significant（P〈0.05）.Incidence rate of complications in observation group is less than in control group,but there is no significant differences.Conclusion Hospital-to-home seamless continuous nursing care mode can improve quality of life for patients after cardiac valve replacement.