延续护理对心脏瓣膜置换术后患者SAS及QOL评分的影响

Effects of Continuous Care on SAS and QOL Scores in Patients Undergoing Cardiac Valve Replacement

目的:研究延续护理对心脏瓣膜置换术后患者SAS及QOL评分的影响。方法:择取2012年5月到2014年5月,我院救治的86例心脏瓣膜置换术后患者作为研究对象。以数字法随机分成观察组(43例)和对照组(43例)。对照组给予患者常规护理,观察组在对照组的基础上给予延续护理,对比两组患者护理后生活质量改善情况、SAS、SDS及GOS评分,依从性、并发症及不良反应、满意度与3年内生存率等情况。结果:护理后观察组各项指标及总生活质量均显著高于对照组;治疗干预后观察组患者SAS及SDS均显著低于对照组,而GOS评分且明显高于对照组;护理干预后观察组对用药的依从性及护理满意度均明显多于对照组,并发症及不良反应均显著低于对照组;术后护理干预1、2及3年的生存率观察组均明显多于对照组,差异具有统计学价值(均P<0.05)。结论:延续护理一方面能改善患者出院后的生活质量,降低患者抑郁焦虑等不良情绪,而且还能够提高患者对治疗的依从性及满意度,达到有效降低并发症及不良反应,同时还在很大程度上延长了患者术后生存率,具有较高的安全性,值得临床借鉴推广。

Objective： To study the effect of continuous care on SAS and QOL scores in patients undergoing cardiac valve replacement. Methods： Selected from May 2012 to May 2014, our hospital 86 cases of patients after cardiac valve replacement as the research object. The figures were randomly divided into observation group（43 cases） and control group（43 cases）. The control group was given routine nursing care of patients, the observation group based on the con- trol group given continuing nursing care, compared between the two groups the nursing of the patients after the im- provement of the quality of life, SAS, SDS and GOS score, compliance, complications and adverse reactions, satisfaction and 3 years survival rate. Results： After nursing, observation group of indexes and total quality of life were significantly higher than the control group after intervention treatment; the patients in the observation group SAS and SDS were sig- nificantly lower than the control group, and GOS scores and significantly higher than the control group; the observa- tion group after nursing intervention on medication compliance and nursing satisfaction were significantly higher than the control group, complications and adverse the reaction was significantly lower than the control group; postoperative nursing intervention of 1, 2 and 3 years survival rate of the observation group were significantly higher than the control group, the difference had statistical value（P〈0.05）. Conclusion： Nursing hand can improve patients＇ quality of life after discharge, reduce depression anxiety and other negative emotions, but also can improve patient compliance with treat- ment and satisfaction, effectively reduce the complications and adverse reactions, the survival rate and largely prolong the patients after operation, high security, worthy of clinical reference and promotion.