治疗性沟通系统干预模式结合阶段性康复对心脏瓣膜置换患者术后疗效及生命质量的影响

Effect of therapeutic communication system intervention mode combined with staged rehabilitation on postoperative curative effect and quality of life of patients with cardiac valve

目的探究并分析阶段性康复结合治疗性沟通系统(TCS)干预模式对心脏瓣膜置换患者术后疗效及生命质量的影响。方法选取2018年2月至2019年2月收治的103例心脏瓣膜置换患者,按照随机数字表法将其分为观察组51例和对照组52例。对照组患者采用阶段性康复干预,观察组实施阶段性康复联合TCS干预模式。记录并对比2组患者预后情况、干预前后生命质量(SF-36)评分、干预前后改良Morisky量表(MMAS-8)评分变化以及围手术期指标。结果干预后1、3、6个月生命质量评分观察组分别为(64.42±9.51)、(76.23±9.19)、(87.24±9.21)分,对照组分别为(58.73±9.38)、(61.23±9.29)、(76.29±9.42)分,2组比较差异有统计学意义(t值为3.057、8.237、5.964,P<0.05);均高于干预前的(54.29±9.14)、(54.45±9.31)分,差异有统计学意义(F值为11.358、7.581,P<0.001);观察组患者ICU住院时间(43.25±1.72)h、卧床时间(42.13±8.32)h、住院时间(16.32±4.20)d,均低于对照组的(54.34±1.93)h、(72.33±8.54)h、(21.24±4.36)d,而用药依从性得分(7.21±0.17)分,高于对照组的(6.01±0.34)分,差异有统计学意义(t值为30.766、18.174、5.831、22.588,P<0.001)。结论阶段性康复结合TCS干预模式能有效改善心脏瓣膜患者预后及围手术期指标,提高患者生命质量,值得临床推广使用。

Objective To explore and analyze the effect of therapeutic communication system(TCS)intervention mode on Therapeutic effect and quality of life in patients with cardiac valve replacement.Methods A total of 103 patients with cardiac valve replacement admitted from February 2018 to February 2019 were selected and divided into observation group(51 cases)and control group(52 cases)according to the random number table method.Patients in the control group were treated with staged rehabilitation intervention,while patients in the observation group were treated with staged rehabilitation combined with TCS intervention mode.Patients'prognosis,the score of Short Form 36-item Health Survey(SF-36)before and after intervention,the changes in the score of the Morisky label Scale(MMAS-8)before and after intervention,and perioperative indicators were recorded and compared between the two groups.Results The quality of life scores of the observation group at 1 month,3 months and 6 months after intervention were(64.42±9.51),(76.23±9.19),(87.24±9.21)points,which were significantly higher than(58.73±9.38),(61.23±9.29),(76.29±9.42)points of the control group(t values were 3.057,8.237,5.964,P<0.05);and also higher than those before intervention(54.29±9.14,54.45±9.31),the difference was statistically significant(F values were 11.358,7.581,P<0.001);the ICU hospitalization time(43.25±1.72),bed rest time(42.13±8.32)and hospitalization time(16.32±4.20)days in the observation group were significantly lower than(54.34±1.93),(72.33±8.54),(21.24±4.36)days in the control group,and the difference was statistically significant(t values were 30.766,18.174,5.831,P<0.001);the drug compliance(7.21±0.17)was significantly higher than that of the control group(6.01±0.34)(t value was 22.588,P<0.001).Conclusion Stage rehabilitation combined with TCS intervention mode can effectively improve the prognosis and perioperative indicators of patients with heart valve,and improve the quality of life of patients,which is worthy of clinical application.