连续护理对心肌梗死患者出院后生活质量的影响

目的探讨连续护理对急性心肌梗死患者出院后生活质量的影响。方法将我院收治的96例急性心肌梗死患者随机分为研究组和对照组,每组各48例,对照组采用传统护理模式,研究组实施出院前和出院后为期1个月的连续护理。出院后对两组患者进行随访,了解患者出院后2d、4周、12周饮食、服药、体育锻炼及日常生活行为的依从性。6个月后应用生存质量指数评定量表(SF-36QOL)评定患者生存质量。结果①研究组患者出院后4周、12周饮食、服药、体育锻炼及日常生活行为的依从性明显优于对照组(P<0.05)。②研究组6个月后生活质量明显优于对照组,研究组SF-36QOL各项评分明显高于对照组(P<0.05)。结论实施连续护理能有效的提高急性心肌梗死患者出院后饮食、服药、体育锻炼及日常生活行为的依从性,改善患者生活质量。

Effect of continuous nursing intervention on the quality of life of patients with myocardial infarction.

Objective To investigate the effect of continuous nursing intervention on the quality of life of patients with myocardial infarction. Methods Ninety-six patients of acute myocardial infarction in our hospital were randomly divided into the study group and the control group, with 48 patients in each group. Patients in the control group received traditional model of care, while those in the study group were treated by continuous nursing intervention before discharge and one month after discharge. All the patients were followed up. The patients’ diet two days, four weeks, and 12 weeks after discharge, medication, physical exercise and compliance activities of daily living were investigated. The quality of life of patients was investigated by index rating scale (SF-36QOL) 6 months after discharge. Results In the study group, the patients’ diet 4 weeks and 12 weeks after discharge, medication, physical exercise and activities of daily living, as well as compliance was significantly better than those the control group (P<0.05). In the study group, the quality of life six months after discharge was significantly better than that in the control group, and SF-36QOL scores was significantly higher (P<0.05). Conclusion The implementation of continuous nursing intervention could improve patients’ diet, medication, physical exercise and activities of daily living, as well as the quality of life.