摘要
目的:探讨多学科团队合作在急性心肌梗死伴有心力衰竭溶栓治疗患者自我管理的应用效果。方法:回顾性分析我院收治的AMI伴有HF行溶栓治疗的130位患者相关资料,其中2018年1~12月收治的58例患者为对照组,2019年1~12月收治的72例患者为实验组。对照组实施常规诊疗、护理和电话随访等,实验组在对照组的基础上给予MDT指导患者进行自我管理。比较两组患者的自我管理情况。结果:实验组患者溶栓药物不良反应发生率显著低于对照组,差异有统计学意义(P<0.05);干预后实验组患者在药物管理、饮食管理、心理和社会适应管理、症状管理四个维度的得分及总分情况均优于对照组(P<0.05)。结论:多学科团队合作能提高AMI伴有HF行溶栓治疗患者的自我管理情况,降低溶栓药物不良反应发生率,提高溶栓药物治疗的安全性与合理性,值得推广应用。
Objective:To investigate the effects of multidisciplinary teamwork on self-management in patients with acute myocardial infarction(AMI)complicated with thrombolytic therapy for heart failure(HF).Methods:Retrospective analysis was performed on the related data of 130 patients with AMI complicated with HF receiving thrombolytic therapy in our hospital,among whom,58 patients admitted in our hospital from January to December of 2018 were selected as the control group,while 72 patients admitted in our hospital from January to December of 2019 were used as the experimental group.Patients in control group were performed with routine diagnosis and treatment,nursing and telephone follow-up;while patients in the experimental group were given MDT to guide the patients to conduct self-management on the basis of the treatment given to the control group.Self-management was compared between the two groups.Results:The incidence of adverse effects of thrombolytic drugs in the experimental group was significantly better than that in the control group(χ~2=10.37,P<0.05).The scores and total scores of patients in such four dimensions as drug management,diet management,psychological and social adaptation management and symptom management were better than those in the control group after intervention(P<0.05).Conclusion:Multidisciplinary teamwork can improve the self-management abilities of AMI patients complicated with HF in thrombolytic therapy,reduce the incidence of adverse reactions of thrombolytic drugs,and improve the safety and rationality of thrombolytic therapy,and it is worth popularization and application.
作者
王海荣
杨平
周美
李芳
WANG Hairong;YANG Ping;ZHOU Mei(Dept.of Cardiology,the Affiliated Hospital of Guilin Medical University,Guilin 541001,China)
出处
《华夏医学》
CAS
2020年第3期134-138,共5页
Acta Medicinae Sinica
基金
广西壮族自治区卫生厅自筹课题(Z2014331)
桂林市科学研究与技术开发计划项目(20190218-5-2)
关键词
多学科协作
急性心肌梗死
心力衰竭
溶栓治疗
multidisciplinary teamwork
acute myocardial infarction(AMI)
heart failure(HF)
thrombolytic therapy
作者简介
通信作者:杨平,Email:547865215@qq.com。
