延续性护理干预对永久人工心脏起搏器植入患者生活质量的影响

Effect of continuity nursing intervention on quality of life in patients with permanent artificial cardiac pacemaker implantation

目的观察延续性护理干预对永久人工心脏起搏器植入患者生活质量的影响。方法选取青岛市市立医院2014年3月~2015年3月收治的永久人工心脏起搏器植入患者108例作为研究对象,遵循随机、均等原则将其分为研究组和对照组,各54例。对照组给予常规护理干预,研究组在对照组的基础上给予延续性护理干预。观察两组遵医行为、自我护理能力以及生活质量情况。结果研究组复诊、饮食、自测脉搏、服药比例显著高于对照（P〈0.05）;出院后6个月,两组健康知识水平、自我护理技能、自我概念、自护责任感评分均显著高于出院前（P〈0.05）,且研究组显著高于对照组（P〈0.05）;出院后6个月两组普适量表、特异性量表下生活质量各项评分显著高于出院前（P〈0.05）,且研究组显著高于对照组（P〈0.05）。结论延续性护理干预可加强永久人工心脏起搏器植入患者遵医行为,提高自我护理能力和生活质量。

Objective To observe the effect of continuity nursing intervention on quality of life in patients with permanent artificial cardiac pacemaker implantation. Methods One hundred and eight cases of patients with permanent artificial cardiac pacemaker implantation treated in Qingdao Municipal Hospital from March 2014 to March 2015 were selected as the research objects, who were divided into study group and control group according to the random and equal principle, with fifty-four cases in each group. The control group was given routine nursing intervention, while the study group was given continuity nursing intervention on the basis of the control group. The compliance behaviors, self-care ability and quality of life in the two groups were observed. Results The rates of referral, diet, medication, pulse self testing patients in the study group were significantly higher than those in the control group（P〈0.05）. The scores of levels of health knowledge, self care skills, self concept, self responsibility in the two groups after 6 months of discharge were significantly increased compared with those before treatment（P〈0.05）, which in the study group were significantly higher than those in the control group（P〈0.05）. The scores of quality of life under the applicable scale and the specific scale in the two groups after 6 months of discharge were significantly increased compared with those before treatment（P〈0.05）, which in the study group were significantly higher than those in the control group（P〈0.05）. Conclusion The continuity nursing intervention can strengthen the compliance behaviors of patients with permanent artificial cardiac pacemaker implantation and improve the self-care ability and quality of life.