论文部分内容阅读
目的探讨出院后延续性护理干预对扩张型心肌病患者生活质量的影响。方法选择2014年9月—2015年9月郑州市第三人民医院接诊的80例扩张型心肌病患者作为研究对象,将患者随机分为干预组和常规组,每组40例。给予干预组患者出院后进行延续性护理干预,给予常规组患者出院后进行常规护理,两组患者均进行6个月随访,统计患者出院后6个月恢复状况(6 min步行距离评价,距离越远患者恢复状况越佳)、生活质量[生活质量评价表(SF-36)进行评价,包括:躯体功能、物质功能、社会功能、心理功能四项]及再住院状况。结果干预组患者6个月后6 min步行距离为(451.3±69.4)m,明显远于常规组患者(320.3±61.7)m;干预组患者6个月后躯体功能评分为(80.3±6.7)分,明显高于常规组(69.1±6.4)分;物质功能评分为(81.3±4.6)分,明显高于常规组(67.6±5.4)分;社会功能评分为(79.6±5.8)分,明显高于常规组(65.8±7.9)分;心理功能评分为(81.3±4.1)分,明显高于常规组(67.2±5.7)分,差异均有统计学意义(P<0.05)。干预组患者6个月内再住院率5.0%,与常规组25.0%相比明显较低,差异有统计学意义(P<0.05)。结论出院后延续性护理干预能有效促进患者病情恢复,改善患者生活质量,减少再住院率。
Objective To investigate the effect of continuous nursing intervention after discharge on quality of life in patients with dilated cardiomyopathy. Methods Eighty patients with dilated cardiomyopathy treated by the Third People’s Hospital of Zhengzhou City from September 2014 to September 2015 were selected as the research object. The patients were randomly divided into intervention group and conventional group, 40 cases in each group. Patients in the intervention group were given continuous nursing intervention after discharge, and patients in the routine group were given regular nursing care after discharge. Patients in both groups were followed up for 6 months, and the patients recovered after 6 months of discharge (6-minute walking distance evaluation, Far better recovery of patients), quality of life [quality of life evaluation form (SF-36) evaluation, including: physical function, physical function, social function, psychological function of four] and rehospitalization. Results The walking distance at 6 min after 6 months in intervention group was (451.3 ± 69.4) m, which was significantly longer than that in routine group (320.3 ± 61.7) m. The physical function score of intervention group was (80.3 ± 6.7) after 6 months , Significantly higher than that of the conventional group (69.1 ± 6.4); the score of physical function was (81.3 ± 4.6), significantly higher than that of the routine group (67.6 ± 5.4); the score of social function was (79.6 ± 5.8) (65.8 ± 7.9) in the routine group and (81.3 ± 4.1) in the psychological group, which was significantly higher than that in the conventional group (67.2 ± 5.7), the differences were statistically significant (P <0.05). In the intervention group, the rate of rehospitalization within 5 months was 5.0%, which was significantly lower than that of the conventional group (25.0%, P <0.05). Conclusion Continuous nursing intervention after discharge can effectively promote the recovery of patients, improve the quality of life of patients and reduce the rate of rehospitalization.