出院计划模式对先天性心脏病合并肺动脉高压病人的疗效观察

Application effect of discharge planning in congenital heart defect patients with pulmonary arterial hypertension

目的探讨出院计划模式对先天心脏病合并肺动脉高压病人的干预效果。方法选取60例先天性心脏病合并肺动脉高压病人作为研究对象,按收治时间分为观察组和对照组,每组各30例。对照组采用常规护理方法,观察组病人在常规护理的基础上实施出院计划干预,跟踪随访3个月,比较两组护理效果。结果实施出院计划干预后,观察组病人出院准备程度高于对照组,差异有统计学意义(P<0.05);观察组病人疾病相关知识水平和护理满意度在出院后1个月和3个月均高于对照组(P<0.05);观察组病人在出院后1个月和3个月并发症发作次数少于对照组,但差异无统计学意义(P>0.05)。结论在病人入院至出院后3个月过程中,出院计划干预模式能有效地提高病人出院准备程度,提高病人对疾病的认识水平,提高护理满意度,降低再住院率。

Objective To investigate the application effect of discharge planning intervention in congenital heart defect patients （ CHD） with pulmonary arterial hypertension （PAH）. Methods Sixty CHD patients admitted to hospital with PAH were chosen as the research objects. They were assigned into the experiment group and the control group with 30 cases in each group. The control group was treated with conventional methods of care while the experiment group adopted discharge planning intervention. The effects of nursing were com-pared between two groups after 3-month follow-up. Results The result of patien ts＇ discharge preparedness in the experiment group had a clear advantage over the control group before discharge;it was significant difference （P 〈 0 . 0 5 ） . The level of patients＇ disease-related knowledge and satisfaction with nursing service in the experiment group were higher than those in the control group after 1-month and 3- month discharge （P 〈0. 05）. The incidence rates of complication in the experiment group was lower than the control group after 1- month and 3-month discharge, but there was no statistically significant difference （ P 〉 0 .0 5 ） . Conclusions During the entire study period, discharge planning nursing intervention is more effective, which not only can improve patients＇ discharge preparedness , the level of patients＇ knowledge of their disease and satisfaction with nursing service,but also can reduce the rate of readmission.