摘要
目的:观察医护一体化护理在心脏瓣膜置换术患者中的应用效果。方法:选取2021年1月至2022年12月该院收治的80例行心脏瓣膜置换术的患者进行前瞻性研究,采用中心区组随机化法将其分为观察组和对照组各40例。对照组给予常规护理,观察组在对照组基础上给予医护一体化护理,比较两组围术期指标水平、护理前后心理弹性[心理弹性量表(CD-RISC)]评分、日常生活能力[生活能力量表(ADL)]评分和生命质量[健康调查简表(SF-36)]评分。结果:观察组住院时间和术后卧床时间均短于对照组,住院费用少于对照组,差异均有统计学意义(P<0.05);护理后,两组乐观性、坚韧性、力量性等CD-RISC评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);护理后,两组ADL、SF-36评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用医护一体化护理可提高心脏瓣膜置换术患者心理弹性评分、日常生活能力评分和生命质量评分,降低围术期指标水平,效果优于单纯常规护理。
Objective:To observe application effects of doctor-nurse integrated nursing in patients with cardiac valve replacement.Methods:A prospective study was conducted on 80 patients undergoing cardiac valve replacement surgery admitted to this hospital from January 2021 to December 2022.They were divided into observation group and control group by central block randomization method,40 cases in each group.The control group was given routine nursing,while the observation group was given the doctor-nurse integrated nursing on the basis of that of the control group.The perioperative index levels,the psychological resilience[Connor-Davidson resilience scale(CD-RISC)]score,the activities of daily living[activity of daily living scale(ADL)]score,and the quality of life[short form 36 health survey(SF-36)]score were compared between the two groups.Results:The hospitalization time and the postoperative bedridden time of the observation group were shorter than those of the control group,the hospitalization cost was less than that of the control group,and the differences were statistically significant(P<0.05).After the nursing,the CDRISC scores of optimism,tenacity and strength in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,after the nursing,the scores of ADL and SF-36 in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the doctor-nurse integrated nursing can improve the psychological resilience scores,daily living ability scores and quality of life scores of the patients after cardiac valve replacement,and reduce the levels of perioperative indexes.Moreover,it is superior to single routine nursing.
作者
刘芳
徐丽娟
LIU Fang;XU Lijuan(Department of Cardiac Surgery of the 7th People’s Hospital of Zhengzhou,Zhengzhou 450000 Henan,China)
出处
《中国民康医学》
2023年第19期189-192,共4页
Medical Journal of Chinese People’s Health
关键词
医护一体化护理
心脏瓣膜置换术
心理弹性
日常生活能力
生命质量
Doctor-nurse integrated nursing
Cardiac valve replacement
Psychological resilience
Activity of daily living
Quality of life
作者简介
刘芳(1989.10—),女,汉族,河南鹤壁人,本科,主管护师,研究方向为心外科护理。
