摘要
目的探讨风湿性心脏病行瓣膜置换术患者采用双心模式护理干预对其预后的影响。方法选取安徽医科大学第二附属医院2018年1月至2020年12月收治的风湿性心脏病行瓣膜置换术患者106例,随机分为观察组(53例)和对照组(53例)。对照组采用常规护理方式,观察组在对照组基础上采用双心模式护理方式。比较2组患者护理前后焦虑与抑郁情绪及生活质量改善情况,以及2组患者护理后心功能、护理满意度及并发症。结果护理后观察组焦虑自评量表(SAS)与抑郁自评量表(SDS)评分分别为(23.41±4.32)分和(26.74±4.31)分,对照组(为36.47±5.63)分和(33.41±5.63)分,组间比较差异具有统计学意义(P<0.05);生活质量量表(GQ0L1)评分,护理后观察组总体生活质量评分为(81.81±6.33)分,对照组为(70.40±6.05)分,组间比较差异具有统计学意义(P<0.05)。护理后观察组心功能分级与对照组比较差异具有统计学意义(P<0.05);护理后观察组服务态度、服务技能评分分别为(9.61±0.28)分和(9.36±0.31)分,对照组为(8.94±0.32)分和(8.84±0.48)分,组间比较差异均具有统计学意义(P<0.05)。护理后观察组不良反应总发生率为5.66%,对照组为26.42%,组间比较差异具有统计学意义(P<0.05)。结论风湿性心脏病行瓣膜置换术患者采用双心模式护理干预,可有效缓解患者焦虑与抑郁情绪,改善其生活质量,稳定心功能,降低术后并发症发生率,具有良好护理效果。
Objective To explore the effect of double heart mode nursing intervention on the prognosis of the patients with rheumatic heart valve replacement.Methods 106 patients with rheumatic heart disease who underwent valve replacement in the hospital from January 2018 to December 2020 were randomly and equally divided into the observation group(n=53)and the control group(n=53).The control group was treated with routine nursing,while the observation group received double heart mode nursing on the basis of the control group.The improvement of anxiety,depression and quality of life were compared between the two groups before and after nursing,and the cardiac function,nursing satisfaction and rate of complications were also compared between the two groups.Results Following intervention,the scores of anxiety scale(SAS)and the scores of depression scale(SDS)in the observation group were(23.41±4.32)and(26.74±4.31),while those of the control group were(36.47±5.63)and(33.41±5.63)respectively.Statistical significance could be seen,when comparisons were made between the two groups(P<0.05).The scores of life quality in the observation group were(81.81±6.33),while those of the control group were(70.40±6.05).Statistical significance could be noted,when comparisons were made between the two groups(P<0.05).After nursing,there were significant differences in cardiac function grade between the observation group and the control group(P<0.05).Following intervention,the service attitude and service skill scores in the observation group were respectively(9.61±0.28),and(9.36±0.31),while those in the control group were respectively(8.94±0.32)and(8.84±0.48),with statistical significance(P<0.05).With nursing,the total rate of adverse reactions in the observation group was(5.66%),while that in the control group was(26.42%),also with statistical significance(P<0.05).Conclusion Dual heart mode nursing intervention,the patients with rheumatic heart disease undergoing valve replacement could effectively alleviate their anxiety and depression,significantly improve their quality of life,stabilize cardiac function,and reduce rate of complications after surgery.
作者
施熠婷
郭琳琳
查桂珍
申运华
Shi Yiting;Guo Linlin;Zha Guizhen;Shen Yunhua(Department of Cardiac Surgery,Second Affiliated Hospital of Anhui Medical University,HeFei 230001,China)
出处
《海军医学杂志》
2022年第4期395-399,共5页
Journal of Navy Medicine
基金
安徽医科大学校科研基金项目(2018xkj036)。
关键词
风湿性心脏病
瓣膜置换术
双心模式
预后
Rheumatic heart disease
Valve replacement
Double heart mode
Prognosis
