摘要
目的 探索针对心脏瓣膜患者贯彻医护一体化护理对其术后生存质量的影响。方法 以分层抽样法筛选出2022年01月至2024年03月至我院接受手术治疗的心脏瓣膜患者75例,按照手术顺序分为对照组(n=38)、研究组(n=37),对照组执行护理常规方案,研究组执行医护一体化方案;以两组术后恢复情况(肠鸣音恢复时间、下床活动时间、6min步行距离、住院时间)、心理状况(CD-RISC量表)、生活质量(SF-36量表)作为观察指标,经统计学检验同期组间差值是否满足P<0.05条件评定医护一体化方案的应用价值。结果 (1)术后恢复情况:以对照组比较,研究组所呈现的肠鸣音恢复时间、下床活动时间、住院时间数据更小,6 min步行距离数据更大,即差值统计学检验P<0.05;(2)心理状况:受护理服务影响,两组CD-RISC量表中的乐观性、坚韧性、力量性均有明显提升,但组间对比可见,研究组数据更大,差值统计学检验P<0.05;(3)生活质量:护理后两组SF-36量表内的生理功能、生理职能、躯体疼痛、总体健康均高于护理前,但研究组上述维度评分提升幅度更大,即护理后组间差值统计学检验P<0.05。结论 针对心脏瓣膜患者贯彻医护一体化护理可以更全面的防护风险因素,促进病情转归,对患者心理健康、生活质量均有积极影响。
Objective To explore the impact of integrated medical and nursing care for heart valve patients on their postoperative quality of life.Methods Stratified sampling method was used to screen out 75 cases of heart valve patients who came to our hospital for surgical treatment from January 2022 to March 2024,and they were divided into the control group(n=38)and the research group(n=37)according to the smooth operation,the control group implemented the routine nursing program,and the research group implemented the healthcare integration program;and the postoperative recovery of the two groups the recovery time of the intestinal sound,the time of getting out of the bed,the 6min walking Postoperative recovery(bowel sound recovery time,time to get out of bed,6min walking distance,length of hospital stay),psychological condition(CD-RISC scale),and quality of life(SF-36 scale)were used as observation indicators,and the difference between the two groups in the same period was statistically examined to see if the difference between the two groups met the condition of P<0.05 to assess the application value of the healthcare integration programme.Results(1)Postoperative recovery:compared with the control group,the study group presented shorter time to recovery of bowel sounds,time to get out of bed and length of hospital stay,and longer 6-minute walking distance,with the difference statistically tested P<0.05;(2)Psychological condition:affected by nursing services,optimism,resilience,and strength within the CD-RISC scale in the two groups were significantly improved,but the comparison between the groups showed that that the data of the research group were greater,and the difference between the groups was statistically tested to be P<0.05;(3)Quality of life:physiological functioning,physiological functioning,somatic pain and general health within the SF-36 scale were higher in both groups after care than before care,whereas the study group showed a greater improvement in the scores of the above dimensions,with a statistical test of the difference between the groups after care of P<0.05.Conclusions for the implementation of the integration of health care in the patients with heart valves Conclusion:The implementation of integrated medical and nursing care for heart valve patients can provide more comprehensive protection against risk factors,promote the regression of the disease,and have a positive impact on the psychological health and quality of life of patients.
作者
巴婕
BA Jie(Department of Cardiovascular Surgery,The First Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan 450052,China)
出处
《航空航天医学杂志》
2025年第2期203-205,共3页
Journal of Aerospace medicine
