多元化康复护理在经导管主动脉瓣置换术风湿性心脏病患者中的应用效果
Application effects of diversified rehabilitation nursing in patients with rheumatic heart disease undergoing transcatheter aortic valve replacement
樊慧霞1
作者信息
- 1. 郑州市第七人民医院,河南 郑州 450000
- 折叠
摘要
目的:观察多元化康复护理在经导管主动脉瓣置换术(TAVR)风湿性心脏病(RHD)患者中的应用效果.方法:回顾性分析 2020 年 3 月至 2021 年 12 月该院收治的 106 例RHD患者的临床资料,按照护理方法不同将其分为观察组与对照组各 53 例.对照组采用常规护理,观察组在对照组基础上采用多元化康复护理.比较两组护理前后心功能分级、生命质量[生活质量综合评定问卷-74(GQOLI-74)]评分、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分和护理满意度.结果:护理后,两组心功能分级均优于护理前,且观察组优于对照组,差异有统计学意义(P<0.05);两组心理功能、躯体功能、社会功能、物质生活等GQOLI-74 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);两组SAS、SDS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组护理满意度为 96.23%(51/53),高于对照组的 84.91%(45/53),差异有统计学意义(P<0.05).结论:在常规护理基础上采用多元化康复护理可提高经TAVR术RHD患者心功能分级、生命质量评分和护理满意度,降低负性情绪评分,其效果优于单纯常规护理.
Abstract
Objective:To observe application effects of diversified rehabilitation nursing in patients with rheumatic heart disease(RHD)undergoing transcatheter aortic valve replacement(TAVR).Methods:The clinical data of 106 patients with RHD admitted to this hospital from March 2020 to December 2021 were retrospectively analyzed.According to the different nursing methods,they were divided into observation group and control group,53 cases in each group.The control group was given routine nursing,while the observation group was given the diversified rehabilitation nursing on the basis of that of the control group.The cardiac function classification,the quality of life[general quality of life inventory-74(GQOLI-74)]score,the negative emotion[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]score before and after the nursing,and the nursing satisfaction were compared between the two groups.Results:After the nursing,the cardiac function classification of the two groups were better than those before the nursing,that in the observation group was better than that in the control group,and the differences were statistically significant(P<0.05).The GQOLI-74 scores of psychological function,physical function,social function and material life 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).The SAS,SDS scores of the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 96.23%(51/53),which was higher than 84.91%(45/53)of the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the diversified rehabilitation nursing can improve the cardiac function classification,the quality of life scores and the nursing satisfaction of the RHD patients with TAVR,and reduce the negative emotion scores.Moreover,it is superior to single routine nursing.
关键词
风湿性心脏病/经导管主动脉瓣置换术/多元化康复护理/心功能/生命质量/负性情绪/护理满意度Key words
Rheumatic heart disease/Transcatheter aortic valve replacement/Diversified rehabilitation nursing/Cardiac function/Quality of life/Negative emotion/Nursing satisfaction引用本文复制引用
出版年
2024
NETL
NSTL
万方数据