出院计划模式对房颤射频消融术后老年患者的影响分析

Analysis of the effect of discharge planning model on elderly patients after radiofrequency ablation of atrial fibrillation

目的研究出院计划模式对老年(年龄≥65岁)房颤术后患者的干预效果。方法选取84例老年房颤患者作为研究对象,随机分为观察组和对照组,每组42例。对照组采用心内科常规护理和随访,观察组在对照组基础上,采用出院计划模式进行护理干预。比较两组术后栓塞事件等并发症发生率、住院时间,SF-36生活质量量表得分,PSQI睡眠质量量表得分,HAMA、HAMD患者抑郁状态评估得分。计量资料采用t检验,计数资料采用χ2检验,P<0.05表示差异有统计学意义。结果实施出院计划模式进行护理干预,患者出院后3个月填写各量表得分比较:与对照组相比,观察组血栓栓塞等并发症发生率明显降低(2.5%比12.5%,P <0.05),SF-36总体健康得分观察组明显高于对照组(89.02±3.52比79.20±3.72,P <0.05),PSQI得分观察组明显低于对照组(9.67±1.26比14.95±1.91,P <0.05),9比9.60±1.48,P <0.05);HAMA得分观察组低于对照组(8.02±0.9比9.60±1.48),HAMD得分观察组明显低于对照组(7.95±1.10比11.28±2.16,P <0.05)。结论出院计划模式可提升老年房颤术后患者自我效能,改善生活能力,降低房颤并发症,有临床推广价值。

Objective Study on the intervention effects of discharge planning model for the elderly(aged≥65 years)patients with postoperative AF.Methods 84 cases of elderly patients with atrial fibrillation were randomly selected as the research objects and divided into the observation group and the control group,42 cases in each group.The control group received routine medical care and follow-up.The observation group received added nursing intervention of discharge planning mode compared to the control group.The incidence of postoperative thrombosis,hospitalization time,the scores of SF-36 quality of life scale,PSQI sleep quality scale,HAMA and HAMD patients′depression status were compared between the two groups.The numerical variables between the two groups were compared with t test,and the classical variables were compared byχ2,and the difference of P <0.05 was statistically significant.Results The nursing intervention was carried out in the discharge plan mode,and the scores of each scale were compared 3 months after the discharge of the hospital:compared with the control group,the incidence of thromboembolism and other complications in the observation group was significantly reduced(2.5% vs12.5%,P <0.05),the SF-36 overall health score in the observation group was significantly higher than that in the control group(89.02±3.52 vs 79.20±3.72,P <0.05),the PSQI score observation group was significantly lower than the control group(9.67±1.26 vs 14.95±1.91,P <0.05),the HAMA score observation group was lower than the control group(8.02±0.9 vs 9.60±1.48),the HAMD score observation group was significantly lower than the control group(7.95±1.10 vs 11.28±2.16,P <0.05).Conclusion Discharge planning mode could improve elderly patients′ self-efficacy and living ability,reduce complications of atrial fibrillation after atrial fibrillation,and had clinical application value.