摘要
目的:探讨医院到家庭(HtoH)连续护理对心脏瓣膜置换术患者的影响。方法:将130例心脏瓣膜置换术患者随机分为实验组和对照组各65例,实验组实施从入院到出院后1年的HtoH连续护理,对照组实施常规护理,比较两组生活质量(SF-36)量表评分、汉密尔顿焦虑(HAMA)量表评分和1年内心血管抗凝不良事件发生率。结果:实验组SF-36量表评分高于对照组,其中生理职能比较差异无统计学意义(P>0.05),其他项目比较差异均有统计学意义(P<0.05,P<0.01);实验组术前、出院前、出院1年HAMA量表评分均低于对照组(P<0.05);出院后1年内实验组心血管抗凝不良事件发生率低于对照组(P<0.05)。结论:HtoH连续护理可以提高心脏瓣膜置换术患者的生活质量,缓解负性情绪,降低并发症发生率。
Objective： To investigate the effect of continuous care in hospital to home（ HtoH） on cardiac valve replacement patients.Methods： A total of 130 patients with cardiac valve replacement were randomly divided into the experimental group and the control group,65 cases in each group. The experimental group received HtoH continuous nursing care from admission to 1 year after discharge,while the control group received routine care. The scores of quality of life scale（ SF-36）,Hamilton Anxiety Scale（ HAMA） scores and the incidence of cardiovascular adverse events of anticoagulation in 1 year were compared between two groups. Results： The experimental group＇ s SF-36 scores were significantly higher than those in the control group,and there was no significant difference in physiological function（ P〉0. 05）and there were significant differences in other items（ P〈0. 05,P〈0. 01）. Before operation,before the discharge,1 year after the discharge,the experimental group＇s HAMA scores were significantly lower than those in the control group（ P〈0. 05）. Within 1 years after discharge,the incidence of adverse cardiovascular events in the experimental group was significantly lower than that in the control group（ P〈0. 05）. Conclusion： HtoH continuous care can improve the quality of life,alleviate the negative emotions,and reduce the incidence of complications.
出处
《齐鲁护理杂志》
2017年第16期8-10,共3页
Journal of Qilu Nursing
基金
滨州医学院附属医院护理科研资助项目(编号:BYFYHL-201505)
滨州医学院科研计划与科研启动基金项目(编号:BY2015KJ08)
