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目的探讨心理护理对风湿性心脏病(RHD)患者心脏瓣膜置换术(CVR)后精神状态及生活质量的影响。方法将60例CVR术后RHD患者随机分为观察组与对照组两组,各30例。对照组予以常规护理,观察组在对照组基础上予以心理护理干预。护理前后采用症状自评量表(SCL-90)和简明生活质量量表(SF-36)进行评价,并比较两组的护理满意度及随访结果。结果观察组的护理满意度、定期复查率、服药依从率分别为96.67%、90.00%、93.33%,显著高于对照组的83.33%、70.00%、76.67%(P<0.05);护理干预后观察组SCL-90量表各维度评分均显著低于对照组,SF-36量表各维度评分均显著高于对照组(P<0.05)。结论心理护理干预能够提高RHD患者CVR术后治疗依从性、降低并发症及再住院率,并可改善其精神状态及生活质量。
Objective To investigate the effect of psychological nursing on mental status and quality of life after heart valve replacement (CVR) in patients with rheumatic heart disease (RHD). Methods Sixty patients with RHD after CVR were randomly divided into observation group and control group, with 30 cases in each group. The control group was given routine care, and the observation group was given psychological nursing intervention on the basis of the control group. The SCL-90 and SF-36 before and after nursing were used to evaluate the nursing satisfaction and follow-up results of the two groups. Results The nursing satisfaction, regular review rate and medication compliance rate in the observation group were 96.67%, 90.00% and 93.33%, respectively, which were significantly higher than those in the control group (83.33%, 70.00%, 76.67%, P <0.05) The scores of SCL-90 scale in all groups were significantly lower than those in control group. The scores of SF-36 in all dimensions were significantly higher than those in control group (P <0.05). Conclusion Psychological nursing intervention can improve postoperative CVR compliance, reduce complications and rehospitalization, and improve mental status and quality of life in RHD patients.