摘要
目的 探讨循证护理健康教育对心脏瓣膜置换术后患者康复效果、生活质量的影响,以期为临床治疗提供参考。方法选取2019年4月—2020年5月南阳医学高等专科学校第一附属医院收治的80例行心脏瓣膜置换术的患者为研究对象。采用随机数字表法将患者分为对照组和观察组,每组40例。对照组患者进行常规护理干预,观察组患者在对照组护理基础上实施循证护理健康教育。比较2组患者术后ICU入住时间(术毕后进入ICU至转至普通病室的时间)、总住院时间(办理入院至办理出院时间)。采用健康状况调查简表(SF-36)评估2组患者干预前及干预1个月时生活质量。结果 观察组患者术后ICU入住时间、总住院时间短于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者SF-36中精神健康、情感职能、社会功能、精力、躯体疼痛、一般健康、生理职能、生理机能评分比较,差异无统计学意义(P>0.05)。干预后,2组患者SF-36中精神健康、情感职能、社会功能、精力、躯体疼痛、一般健康、生理职能、生理机能评分均高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。结论 循证护理健康教育用于心脏瓣膜置换术患者术后护理中,可促进患者机体的康复,生活质量的提高,效果显著,值得临床推广应用。
Objective To explore the effect of evidence-based nursing health education on the rehabilitation effect and quality of life in patients underwent cardiac valve replacement, so as to provide reference for clinical treatment. Methods Eighty patients who underwent heart valve replacement in the First Affiliated Hospital of Nanyang Medical College from April 2019 to May 2020 were selected as the study subjects. The patients were assigned to the control group and observation group by random number table, with 40 cases in each group. The patients in the control group received routine nursing intervention, and the patients in the observation group evidence-based nursing health education in addition to the nursing in the control group. Postoperative ICU stay(time from ICU admission to transfer to the general ward after surgery) and total length of hospital stay(time from admission to discharge) were compared between the two groups. The 36-Item Short Form Health Survey(SF-36) was used to assess the quality of life of patients in the 2 groups before and at 1 month of intervention. Results The postoperative ICU stay and total length of hospital stay in the observation group were significantly shorter than those in the control group(P<0.05). Before the intervention, there was no significant difference in mental health, emotional function, social function, energy, physical pain, general health, role of physiology, and physical function scores in the SF-36 between the 2 groups(P >0.05). After the intervention, the scores of mental health, emotional function, social function, energy, physical pain, general health, role of physiology and physical function in the SF-36 in the two groups were significantly higher than those before the intervention, with the observation group significantly higher than the control group(P<0.05). Conclusion The use of evidence-based nursing health education in postoperative care for patients underwent heart valve replacement can promote the recovery of patients’ conditions, and improve their quality of life, with marked effects. These advantages justify a wider application of this nursing clinically.
作者
方艳阳
Fang Yanyang(The First Affiliated Hospital of Nanyang Medical College,Nanyang Henan 473000,China)
出处
《保健医学研究与实践》
2022年第9期106-109,共4页
Health Medicine Research and Practice
基金
2019年河南省医学科技攻关计划联合共建项目(LHGJ20191459)。
关键词
循证护理
健康教育
心脏瓣膜置换术
生活质量
康复
Evidence-based nursing
Health education
Heart valve replacement
Quality of life
Rehabilitation
