基于舒适原则的延续护理在心脏起搏器术后患者中的应用价值

Application value of persistent nursing based on comfort principle in the patients after surgery for pacemaker insertion

目的探讨基于舒适原则的延续护理在心脏起搏器术后患者中的应用价值。方法选取2015年6月至2016年12月解放军第九○一医院收治的心脏起搏器术后患者68例,依据护理方法分为延续组和对照组,每组34例,对照组给予常规护理干预,延续组在此基础上给予基于舒适原则的延续护理干预。结果延续组健康知识掌握率和遵医行为依从率分别为(94.00%vs.80.00%),(100.00%vs.82.35%),明显高于对照组,差异有统计学意义(P<0.05);延续组干预后一般生活[(9.82±1.03)分],社会心理[(20.51±3.09)分]、医疗情况[(5.49±0.16)分]、工作状况[(5.62±0.58)分]、体力[(12.87±1.68)分]、病情[(15.97±1.79)分]等中国心血管病人生活质量评定问卷(CCQQ)得分明显高于对照组(7.63±0.81)分]、[(15.14±2.64)分]、[(4.66±0.12)分]、[(2.32±0.35)分]、[(8.98±0.96)分]、[(11.21±1.18)分],差异均有统计学意义(P<0.05)。结论基于舒适原则的延续护理干预可有效提高心脏起搏器术后患者的健康知识掌握程度和遵医行为依从性,有利于改善患者的生活质量,值得临床进一步推广。

Objective To investigate the application value of persistent nursing based on comfort principle in the patients after surgery for pacemaker insertion. Methods Six-eight patients admitted into the hospital for pacemaker insertion surgery from June 2015 to December 2016 were enrolled for the study,and were divided into the persistent nursing group and the control group,according to different nursing methods,each consisting of 34 patients.The control group was given routine nursing,while the persistent nursing group received persistent nursing based on comfort principle,in addition to the care received by the control group. Results The rate of knowledge in health for the persistent nursing group was 94.00%,while that of the control group was 80.00%,and the rate of medical compliance for the former was 100.00%,while that of the latter was 82.35%.Statistical significance could obviously be seen,when comparisons were made between the 2 groups(P<0.05).Scores of the Chinese cardiovascular patient life quality evaluation questionnaire(CCQQ)as shown below in the persistent nursing group were significantly higher than those of the control group.The scores of general life for the persistent nursing group and the control group were respectively(9.82±1.03)and(7.63±0.81),the scores of social psychology were(20.51±3.09)and(15.14±2.64),the scores of medical conditions were(5.49±0.16)and(4.66±0.12),the scores of working conditions were respectively(5.62±0.58)and(2.32±0.35),the scores of physical performance were(12.87±1.68)and(8.98±0.96),and the scores of illness conditions for the 2 groups were respectively(15.97±1.79)and(11.21±1.18).Statistical significance could also be clearly noted,when comparisons were made between them(P<0.05).Conclusion Persistent nursing intervention based on comfort principle in the patients after surgery for pacemaker insertion could effectively improve the rate of knowledge in health and medical compliance in patients with pacemaker surgery,and was obviously beneficial to the improvement of their life quality.For this reason,it is worth further clinical promotion.