摘要
目的:探讨延续性护理管理对先天性心脏病手术治疗患儿生存质量及自我效能的影响。方法:将我院收治的48例行手术治疗的先天性心脏病患儿随机分为对照组和观察组各24例,对照组患儿出院后进行常规性出院指导,观察组患儿出院后行延续性护理管理,分别于出院时及出院后6个月采用健康调查简表(SF-36)对两组患儿生存质量进行评分,观察两组患儿定期复诊、按医嘱服药、合理饮食、合理运动、合理作息等方面的依从性。结果:与出院时相比,观察组出院后6个月SF-36总分及各维度得分显著提高(P<0.05),且SF-36总分及各维度得分均高于对照组(P<0.05)。观察组患儿出院后6个月定期复诊、按医嘱服药、合理饮食、合理运动、合理作息等方面依从率显著高于对照组出院后6个月,差异有统计学意义(P<0.05)。结论:对先天性心脏病手术患儿出院后实施延续性护理管理可提高患儿自护能力,改善患儿生存质量,有利于患儿预后。
Objective： To explore the effect of the extended nursing management on the postoperative life quality and compliance of the children undergoing surgery for congenital heart disease. Methods： 48 children with congenital heart disease treated with surgery in our hospital were randomly divided into the control group and the observation group（ 24 cases in each group）. The conventional nursing guidance was given to the children after they were discharged from hospital in the control group; the extended nursing management was provided for the discharged patients in the observation group. The postoperative quality of life of the children in both groups was assessed and scored by using health survey scale（ SF- 36） at discharge and after discharge for 6 months,the children＇s compliance of regularly return visit,medication by following doctor＇s order,reasonable diet,reasonable exercise,reasonable rest etc. was observed in the two groups. Results： Compared with those at discharge,the total score of SF- 36 and the score of each dimension after discharge for 6 months increased significantly in the observation group（ P〈0. 05）,and the total score of SF- 36 and the score of each dimension were higher in the observation group than those in the control group（ P〈0. 05）; the children＇s compliance of regular return visit,medication by following doctor＇s order,reasonable diet,reasonable exercise,reasonable rest etc. was better in the observation group than that in the control group after discharge for 6months,the difference between the two groups was statistically significant（ P〈0. 05）. Conclusion： The extended nursing management for the discharged children with the surgery for congenital heart disease can improve their self- care ability and the quality of life and it is beneficial to the prognosis.
出处
《齐鲁护理杂志》
2015年第6期1-3,共3页
Journal of Qilu Nursing
关键词
延续性护理管理
先天性心脏病
生存质量
依从性
Extended nursing management
Congenital heart disease
Quality of life
Compliance
