Observation on the Application Effect of Rehabilitation Nursing Based on Shared Decision Theory in the Recovery of Elderly Patients After Heart Surgery
Observation on the Application Effect of Rehabilitation Nursing Based on Shared Decision Theory in the Recovery of Elderly Patients After Heart Surgery
Objective:To explore the application effect of shared decision-making theory in rehabilitation nursing for elderly patients undergoing cardiac surgery.Methods:94 elderly cardiac surgery patients admitted to the hospital from April 2020 to April 2023 were selected and randomly divided into two groups,with 47 patients in each group.The control group received routine rehabilitation care,while the observation group received rehabilitation care based on shared decision-making theory,which lasted until 3 months after surgery.The psychological status,self-care ability,recovery of cardiac function,quality of life,incidence of complications,and nursing satisfaction between the two groups were compared.Results:After nursing,the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)of the observation group were lower than those of the control group,and the difference was statistically significant(t=5.786,7.742;P＜0.05).After nursing,the self-care ability scale(ESCA)score of the observation group was higher than that of the control group,and the difference was statistically significant(t=6.868,9.767,8.107,5.534;P＜0.05).After nursing,the left ventricular ejection fraction(LVEF)level in observation group was higher than that in control group,the left ventricular end-diastolic diameter(LVEDD)and left ventricular end-systolic diameter(LVESD)levels were lower than that in control group,with statistically significant difference(t=1.356,5.864,6.641;P＜0.05).After nursing,the scores of CQQC in the observation group were higher than those in the control group,and the difference was statistically significant(t=6.191,7.267,6.765,7.446,9.386,6.408;P＜0.05).The complication rate of the observation group was lower than that of the control group,and the nursing satisfaction of the observation group was higher than that of the control group,with statistically significant difference(χ2=5.045,5.371;P＜0.05).Conclusion:The rehabilitation nursing based on shared decision-making theory can alleviate negative emotions in elderly patients undergoing cardiac surgery,improve self-care ability,promote cardiac function recovery,and thus improve quality of life and nursing satisfaction.
关键词
心脏手术/共享决策理论/康复护理/心理状态/自护能力/心功能/生活质量
Key words
Cardiac surgery/Shared decision theory/Rehabilitation care/Psychological state/Self care ability/Cardiac function/Quality of Life
维普
万方数据