探讨连续健康教育及护理实践应用于心脏瓣膜置换术后患者康复中的护理效果

目的探讨连续健康教育及护理实践应用于心脏瓣膜置换术后患者康复中的护理效果。方法选择我院2017年1月--2017年7月收治的行心脏瓣膜置换手术的患者90例进行此次研究,按照随机双盲法分为对照组与观察组,各45例。对照组实施常规健康教育,观察组患者除常规健康教育外,加以实施连续健康教育及相关的护理实践经验,调查患者护理满意度,非常满意、满意和不满意;统计术后并发症的发生率以及住院时间。结果观察组患者非常满意28例、满意15例、不满意2例,护理满意度95.6%,对照组患者非常满意19例、满意12例、不满意14例,护理满意度68.9%,两组患者比较差异具有统计学意义(P<0.05)。观察组患者出现术后出血1例,并发症的发生率2.2%,对照组患者出现术后出血l例,切口感染1例,切口裂开1例,并发症的发生率6.7%,观察组患者住院时间(7.58士2.65)d,对照组患者住院时间(12.35±3.68)d,两组患者比较差异具有统计学意义(P<0.05)。结论在心脏瓣膜置换术后患者康复护理中实施连续健康教育及相应的护理实践内容效果良好,有助于提高治疗效果、缩短住院时间,促进患者对护理工作的满意度,此护理模式可在临床推广使用。

Objective:To explore the effect of continuous health education and nursing practice in postoperative rehabilitation of patients undergoing cardiovascular surgery.Methods 90 patients who were treated with cardiovascular surgery in October--2017 October 2015 were selected and divided into the control group and the observation group according to the random double blind method,each 45 cases.The control group carried out routine health education.The patients in the observation group,except routine health education,carried out continuous health education and related nursing practice experience,and investigated the satisfaction of patients’nursing satisfaction,satisfied and dissatisfied;the incidence of postoperative complications and the time of hospitalization were statistically analyzed.Results the patients in the observation group were very satisfied with 28 cases,satisfactory 15 cases,2 cases of dissatisfaction,95.6%of nursing satisfaction,19 cases in the control group,12 satisfactory,14 dissatisfaction,68.9%nursing satisfaction,and statistically significant difference between the two groups(P<0.05).There were 1 cases of postoperative bleeding in the observation group,and the incidence of complications was 2.2%.There were l cases of postoperative bleeding in the control group,1 cases of incision infection,1 cases of incision dehiscence,6.7%of complications,the hospitalization time of the observation group(7.58,2.65)d,and the time of hospitalization of the control group(12.35+3.68)d,and the difference of the two groups was statistically significant(P<0.05).Conclusion the effect of continuous health education and corresponding nursing practice in the postoperative rehabilitation nursing of cardiovascular surgery patients is good,which can help to improve the treatment effect,shorten the time of hospitalization and promote the patient’s satisfaction with the nursing work.This nursing mode can be used in clinical practice.