风湿性心脏病机械瓣膜置换术后患者延续性护理的效果评价

目的 探讨延续性护理对风湿性心脏病机械瓣膜置换术后患者生存质量、服药依从性、运动耐量的影响.方法 采用随机分组的方法 ,将符合条件的患者分为试验组和对照组,每组50例,对照组接受常规护理,试验组除此之外给予延续性护理干预,干预时间为6个月.结果 两组患者生存质量各个领域在出院前差异均无统计学意义(P>0.05),出院后除环境领域、家庭摩擦得分之外,其余领域比较差异均有统计意义(P<0.05);两组患者出院前6 min步行距离比较,差异无统计学意义(P>0.05),出院后6个月两组差异有统计学意义(P<0.05);两组患者出院后3、6个月服药依从性差异有统计学意义(P<0.05).结论 延续性护理能够提高患者生存质量、服药依从性及运动耐量,减少抗凝相关并发症的发生.

Effect evaluation of patient continuous nursing after mechanical heart valve replacement in rheumatic heart disease

Objective To investigate the effect of continuing nursing care on the patient′s survival quality ,medication compli-ance and exercise tolerance after mechanical heart valve replacement surgery in the patients with rheumatic heart disease .Methods The eligible patients were randomly divided into the experiment group and control group by adopting the random grouping method , 50 cases in each group .The control group received the routine nursing care .In addition to this ,the experiment group was given the continuing nursing care intervention .The intervention time lasted for 6 months .Results The various fields in the survival quality before discharge from hospital had no statistically significant difference between the two groups (P>0 .05) .Except for the enviro-ment score and family friction score after discharge ,the rest fields had statistically significant difference between the two groups (P<0 .05) .There was no statistically significant difference in 6 min walk distance before discharge between the two groups (P>0 .05) ,while which at 6 months after discharge had statistically significant difference between the two groups (P<0 .05) .The medi-cation compliance at 3 ,6 months after discharge had statistically significant differences between the two groups (P<0 .05) .Conclu-sion The continuous nursing care can improve the patient′s survival quality ,medication compliance and exercise tolerance ,and re-duces the occurrence of anticoagulation related complications .