出院计划在急性心梗患者护理中的应用效果研究

Study on the Effect of Discharge Plan in the Nursing of Patients with Acute Myocardial Infarction

目的分析探究对急性心梗患者实施出院计划护理所取得的临床效果。方法采集研究对象为2018年4月至2019年4月收治的急性心梗患者70例,按照随机分组的原则将70例心梗患者分成两组,分别为接受常规护理的35例对照组患者,与接受出院计划干预的35例试验组患者。结果两组患者出院前,其日常生活管理与情绪管理评分,身体指标两组差异不大,P>0.05,不具有统计学意义;而出院6个月与出院1年后,试验组日常生活管理与情绪管理评分明显高于对照组,其体质量指数与糖化血红蛋白含量明显更低,P<0.05,有统计学意义;而且试验组患者出院1年后,其生活质量相较于对照组有明显改善,P<0.05,有统计学意义。结论将出院计划干预应用于急性心梗患者的护理中,可有效加强自身的情绪管理与日常生活管理,改善身体指标,使发病因素得以有效控制,值得应用与推广。

Objective To analyze and explore the clinical effect of discharge plan nursing for patients with acute myocardial infarction.Methods Seventy patients with AMI from April 2018 to October 2019 were enrolled in the study.According to the principle of random grouping,70 patients with AMI were divided into two groups:35 patients in the control group receiving routine nursing and 35 patients in the trial group receiving the intervention of discharge plan.Results before discharge,the scores of daily life management and emotional management and the physical indexes of the two groups had no significant difference(P>0.05),but six months after discharge and one year after discharge,the scores of daily life management and emotional management in the experimental group were significantly higher than those in the control group,and their body mass index and glycosylated hemoglobin content were significantly lower(P<0.05),with statistical significance.And One year after discharge,the quality of life in the experimental group was significantly improved compared with that in the control group(P<0.05).Conclusion The application of discharge planning intervention in the nursing of patients with acute myocardial infarction can effectively strengthen their own emotional management and daily life management,improve their physical indicators,and effectively control the incidence of factors,which is worthy of application and promotion.