延续性护理干预在心脏瓣膜置换术后患者中的应用效果研究

Application Effect of Continuous Nursing Intervention in Patients after Heart Valve Replacement

目的:探讨延续性护理干预在心脏瓣膜置换术后患者中的应用价值。方法:选取2018年10月—2020年5月安阳地区医院收治的104例进行心脏瓣膜置换术的患者作为研究对象,按照随机数表法将104例患者分为对照组和研究组,每组各52例。对照组采用常规护理干预,研究组采用延续性护理干预。对比两组患者的服药依从性[8条目Morisky服药依从性量表(MMAS-8)评分]、生活质量[生存质量测定量表简表(QOL-BREF)评分]、心理状态[焦虑自评量表(SAS)与抑郁自评量表(SDS)评分]及并发症发生率。结果:出院时,两组患者的服药依从性比较,差异无统计学意义(t=0.886,P>0.05);出院6个月后,研究组的服药依从性显著高于对照组,差异有统计学意义(t=15.828,P<0.05)。研究组并发症发生率为1.92%,明显低于对照组的13.46%,差异有统计学意义(χ^(2)=4.875,P<0.05)。出院时,两组患者QOL-BREF评分比较,差异无统计学意义(t=0.300,P>0.05);出院6个月后,研究组QOL-BREF评分显著高于对照组,差异有统计学意义(t=4.059,P<0.05)。护理前,两组患者SAS、SDS评分比较,差异无统计学意义(t=0.375、0.531,P>0.05);护理后,研究组SAS、SDS评分显著低于对照组,差异有统计学意义(t=5.024、5.803,P<0.05)。结论:延续性护理干预应用于心脏瓣膜置换术后患者,能够提高患者的服药依从性,减少并发症的发生,改善生活质量,有效缓解负面情绪。

Objective:To explore the application value of continuous nursing intervention in patients after heart valve replacement.Methods:A total of 104 patients with heart valve replacement who were admitted to the hospital from October 2018 to May2020 were selected as the research objects. According to the random number table method, the 104 patients were divided into the control group and the research group, with 52 cases in each group. The control group received routine nursing intervention, and the study group received continuous nursing intervention. The medication compliance(8-item Morisky Medication Compliance Scale[MMAS-8] score), quality of life(Quality of Life Short Form [QOL-BREF] score), the psychological status(self-rating anxiety scale[SAS] and self-rating depression scale [SDS] scores) and the incidence of complications were compared between the two groups.Results:At discharge, there was no statistically significant difference in medication compliance between the two groups(t=0.886, P>0.05). 6 months after discharge, the medication compliance of the study group was significantly higher than that of the control group, and the difference was statistically significant(t=15.828, P<0.05). The total incidence of complications in the study group was 1.92%, which was significantly lower than 13.46% in the control group, and the difference was statistically significant(χ^(2)=4.875, P<0.05). At discharge, there was no statistically significant difference in QOL-BREF scores between the two groups(t=0.300, P>0.05). 6 months after discharge, the QOL-BREF score of the study group was significantly higher than that of the control group, and the difference was statistically significant(t=4.059, P<0.05). Before nursing, there was no statistically significant difference in SAS and SDS scores between the two groups(t=0.375, 0.531, P>0.05). After nursing, the SAS and SDS scores of the study group were significantly lower than those of the control group, and the difference was statistically significant(t=5.024, 5.803,P<0.05).Conclusion:Continuous nursing intervention applied to patients after heart valve replacement can improve patients’ medication compliance, reduce the occurrence of complications, improve the quality of life, and effectively relieve negative emotions.