延续性护理干预对心脏瓣膜置换术患者的应用效果

Application Effect of Continuous Nursing Intervention on Patients with Heart Valve Replacement

目的:观察延续性护理干预在心脏瓣膜置换术中的应用效果。方法:选择2021年1月-2022年1月在南华大学附属长沙中心医院进行心脏瓣膜置换术治疗的74例患者,采用随机分组法分为两组,各37例。对照组采用常规护理法,观察组采用延续性护理干预法。比较治疗依从性、不良心理情绪评分、生活质量评分、心脏射血分数及6 min步行距离。结果:观察组按剂量服药、按时服药、定期复查、自我检测与合理饮食评分高于对照组,差异具有统计学意义(P<0.05)。护理后,观察组抑郁自评量表、焦虑自评量表评分低于对照组,差异具有统计学意义(P<0.05)。观察组社会关系、独立性、生理、心理及环境评分高于对照组,差异具有统计学意义(P<0.05)。干预后,观察组心脏射血分数及6 min步行距离指标高于对照组,差异具有统计学意义(P<0.05)。结论:将延续护理干预用于接受心脏瓣膜置换术治疗的患者中,患者对疾病治疗有较高的治疗依从性,生活质量显著改善,心功能指标及运动能力提升,避免患者出现较多的不良心理情绪,术后疾病恢复效果显著,有助于帮助患者尽快恢复健康。

Objective:To observe the application effect of continuous nursing intervention in heart valve replacement.Methods:From January 021 to January 2022,74 patients who underwent heart valve replacement in Changsha Central Hospital Affiliated to University of South China were selected and randomly divided into two groups with 37 cases in each group.The control group was given routine nursing,and the observation group was given continuous nursing intervention.Treatment compliance,adverse psychological and emotional scores,quality of life scores,cardiac ejection fraction and 6-minute walking distance were compared.Results:The scores of taking medicine according to dose,taking medicine on time,regular recheck,self-examination and reasonable diet in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).After nursing,the scores of depression self-rating scale and anxiety self-rating scale in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The scores of social relations,independence,physiology,psychology and environment in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).After intervention,the indexes of cardiac ejection fraction and 6-min walking distance in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The continuous nursing intervention is used in patients receiving heart valve replacement therapy,the patients have a higher treatment compliance with disease treatment,the quality of life is significantly improved,the cardiac function indicators and exercise capacity are improved,the patient’s adverse psychology and emotions are prevented,and postoperative disease recovery effect is remarkable,which help patients to recover as soon as possible.