心理护理对风湿性心脏病心脏瓣膜置换术后精神状态及生活质量的影响

The effect of psychological intervention on the mental condition and quality of life in patients with rheumatic heart disease after cardiac valve replacement

目的探讨心理护理对风湿性心脏病(RHD)患者心脏瓣膜置换术(CVR)后精神状态及生活质量的影响。方法将60例CVR术后RHD患者随机分为观察组与对照组两组,各30例。对照组予以常规护理,观察组在对照组基础上予以心理护理干预。护理前后采用症状自评量表(SCL-90)和简明生活质量量表(SF-36)进行评价,并比较两组的护理满意度及随访结果。结果观察组的护理满意度、定期复查率、服药依从率分别为96.67%、90.00%、93.33%,显著高于对照组的83.33%、70.00%、76.67%(P<0.05);护理干预后观察组SCL-90量表各维度评分均显著低于对照组,SF-36量表各维度评分均显著高于对照组(P<0.05)。结论心理护理干预能够提高RHD患者CVR术后治疗依从性、降低并发症及再住院率,并可改善其精神状态及生活质量。

Objective To investigate the effect of psychological intervention on mental condition and quality of life in patients with rheumatic heart disease （ RHD ） after cardiac valve replacement （CVR） . Methods 60 patients with RHD after CVR were randomly divided into observation group and control group, 30 cases in each group. The control group received routine nursing, the observation group received psychological intervention on the basis of the control group. The mental condition was assessed by Symptom Checklist 90 （ SCL-90 ）, the quality of life was assessed by the Simple Life Quality of Life Scale （ SF-36 ）, the nursing satisfaction and follow-up results between the two groups were compared. Results The nursing satisfaction （ 96.67 % ）, re-examination rate （ 90.00 % ） and medication compliance rate （ 93.33 % ） in the observation group were higher than those （ 83.33 %, 70.00 %, 76.67 % ） in the control group （ P〈0.05 ）; After nursing, the scores of SCL-90 in the observation group were significantly lower than those in the control group, and the scores of SF-36 were significantly higher than those of the control group （P 〈 0.05 ） . Conclusion Psychological intervention can improve the treatment compliance of RHD patients after CVR, improve the postoperative mental condition and quality of life.