多学科协作联合华生关怀干预冠状动脉粥样硬化性心脏病介入术患者的价值

The value of multidisciplinary collaboration combined with Watson care intervention on cardiac function,perceived burden and complications in patients undergoing interventional coronary heart disease

目的研究多科学协作干预结合华生关怀理论在冠状动脉粥样硬化性心脏病(冠心病)介入手术中的护理效果,为临床护理工作提供参考。方法研究对象为2021年3月—2023年3月在安徽中医药大学第一附属医院介入中心手术室行介入手术的冠心病患者204例,以随机数字表法分为对照组(102例,采用常规围手术期护理干预)及观察组(102例,在对照组基础上采用多学科协作干预结合华生关怀理论干预),比较2组患者干预前后的心功能指标、遵医行为、自我感受负担、生活质量,统计并发症发生率,运用SPSS 22.0统计学软件进行统计学分析。结果(1)干预3个月后,2组患者左心室射血分数、每搏心输出量、完全遵医占比、生活质量评分均升高,且观察组高于对照组(P<0.05),左心室舒张末内径、自我感受负担评分均降低,且观察组低于对照组(P<0.05);(2)观察组患者并发症发生率(3.92%)低于对照组(12.75%,χ^(2)=5.198,P=0.023)。结论多学科协作干预结合华生关怀理论可改善冠心病患者介入手术后的心功能,同时提高其遵医行为及生活质量,减轻其自我感受负担,减少并发症的发生。

Objective To study the nursing effect of multi-science collaborative intervention combined with Watson care theory in interventional operation for coronary atherosclerotic heart disease(CAD),and provide guidance for clinical nursing.Methods The study subjects were 204 patients with coronary heart disease who underwent interventional surgery in the First Affiliated Hospital of Anhui University of Chinese Medicine from March 2021 to March 2023,who were divided into the control group(n=102,routine nursing intervention)and the observation group(n=102,multidisciplinary collaborative intervention combined with Watson Care theory intervention on the basis of the control group)by random number table method.The cardiac function indexes,compliance behavior,self-perceived burden scale,and quality of life were compared before and after intervention between the two groups,and the incidence of complications was recorded.SPSS 22.0 software was used for statistical analysis.Results(1)After 3 months of intervention,left ventricular ejection fraction,cardiac output per stroke,proportion of complete compliance,and quality of life score of the two groups were increased,and the observation group was higher than the control group(P<0.05),the left ventricular end-diastolic diameter and self-perceived burden score were decreased,and the observation group was lower than the control group(P<0.05).(2)The complication rate of the observation group(3.92%)was lower than that of the control group(12.75%,χ^(2)=5.198,P=0.023).Conclusion Multidisciplinary collaborative intervention combined with Watson care theory can improve the heart function of patients with coronary heart disease after interventional surgery,improve their compliance behavior and quality of life,reduce their self-perceived burden,and reduce the occurrence of complications.