基于医院的延续性护理模式干预对静脉血栓栓塞症患者术后焦虑抑郁情绪及生活质量的影响

Effects of hospital-based continuous nursing model intervention on postoperative anxiety,depression and quality of life in patients with venous thromboembolism

目的基于医院的延续性护理模式干预对静脉血栓栓塞症患者术后焦虑抑郁情绪及生活质量的影响,为建立延续性护理模式及静脉疾病专病数据库提供依据。方法将90例静脉血栓栓塞症患者按不同干预方法分为研究组和对照组,每组45例。住院期间两组均接受常规抗凝治疗、手术治疗及护理干预,出院后对照组给予常规家庭护理干预,研究组给予基于医院的延续性护理模式干预,观察6个月。比较出院时及出院3个月、6个月两组焦虑自评量表、抑郁自评量表和中文版静脉功能不全患者生活质量/症状问卷子问卷评分,比较出院后6个月两组护理满意度。结果出院3个月、6个月研究组焦虑自评量表、抑郁自评量表评分均较出院时显著降低(P<0.01),且显著低于对照组(P<0.01),对照组出院6个月焦虑自评量表、抑郁自评量表评分均较出院时显著升高(P<0.01)。研究组仅出院6个月中文版静脉功能不全患者生活质量/症状问卷子问卷评分均较出院时显著降低(P<0.01),但出院3个月、6个月仍显著高于对照组(P<0.01),对照组出院3个月、6个月评分均较出院时显著降低(P<0.01)。出院6个月研究组护理总满意率显著高于对照组(P<0.01)。结论基于医院的延续性护理模式干预能有效缓解静脉血栓栓塞症患者术后焦虑、抑郁情绪,提高其生活质量及护理满意度。

Objective To explore the effects of hospital-based continuous nursing model intervention on postoperative anxiety,depression and quality of life in patients with venous thromboembolism(VTE),so as to provide basis for the establishment of continuous nursing model and venous disease specific database.Methods A total of 90 VTE patients were divided into study group and control group according to different intervention methods,with 45 cases in each group.Both groups received routine anticoagulant therapy,surgery and nursing intervention during hospitalization.After discharge,the control group was given routine family nursing intervention,and the study group was given hospital-based continuous nursing model intervention for 6 months.The scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS) and venous insufficiency epidemiological and economic study-quality of life/symptoms(VEINES-QOL/Sym) sub questionnaire were compared between the two groups at discharge,3 and 6 months after discharge,and the nursing satisfaction between the two groups at 6 months after discharge was compared.Results The scores of SAS and SDS in the study group at 3 and 6 months after discharge were significantly lower than those at discharge(P<0.01),and the study group was significantly lower than the control group(P<0.01).The scores of SAS and SDS in the control group were significanlly increased 6 months after discharge(P<0.01).The score of VEINES-QOL/Sym sub questionnaire in the study group at 6 months after discharge was significantly lower than that at discharge(P<0.01),but was still significantly higher than that of the control group at3 and 6 months after discharge(P<0.01).The score of the control group at 3 and 6 months after discharge was significantly lower than that at discharge(P<0.01).The total satisfaction rate of nursing in the study group was significantly higher than that in the control group 6 months after discharge(P<0.01).Conclusions The hospital-based continuous nursing model intervention can effectively relieve the postoperative anxiety and depression of patients with VTE,improve their quality of life and nursing satisfaction.