延续性护理对瓣膜置换术后患者口服华法林的自我管理的影响

Effect of Continuity of Care on Self-management of Oral Warfarin in Patients after Valve Replacement

目的:探讨延续性护理对瓣膜置换术后患者口服华法林的自我管理的影响。方法:选取2019年7月—2021年7月苏北人民医院收治的瓣膜置换术后口服华法林治疗的患者98例为研究对象,根据随机数字表法分为对照组与观察组,各49例。对照组给予常规护理干预,观察组给予延续性护理干预。比较两组患者生活质量、6 min步行距离、服药依从性、护理满意度。结果:干预后,两组患者生活质量评分、6 min步行距离及服药依从性均提高,差异有统计学意义(P<0.05)。观察组生活质量评分、6 min步行距离及服药依从性高于对照组,差异有统计学意义(P<0.001)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:延续性护理对瓣膜置换术后患者口服华法林的自我管理有积极影响,可患者的有效提高其生活质量、6 min步行距离及服药依从性,护理满意度较高。

Objective:To explore the effect of continuity of care on self-management of oral warfarin after valve replacement.Methods:Ninety-eight patients treated with oral warfarin after valve replacement in North Jiangsu People's Hospital from July 2019 to July 2021 were selected as the study objects,and were divided into control group and observation group according to random number table method,with forty-nine cases in each group.The control group was given routine nursing intervention,and the observation group was given continuous nursing intervention.The quality of life,6-min walking distance,medication compliance and nursing satisfaction were compared between the two groups.Results:After intervention,quality of life scores,6-min walking distance and medication compliance were improved in 2 groups,with statistical significance(P<0.05).Quality of life score,6-min walking distance and medication compliance in observation group were higher than those in control group,the difference was statistically significant(P<0.001).Nursing satisfaction of observation group was higher than control group,the difference was statistically significant(P<0.05).Conclusion:Continuity of care has a positive impact on the self-management of oral warfarin patients after valve replacement,can effectively improve their quality of life,6 min walking distance and medication compliance,nursing satisfaction is high.