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健康教育对心脏瓣膜置换术后抗凝用药依从性的效果及对患者心功能的影响

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目的 分析健康教育对于心脏瓣膜置换术患者的术后抗凝用药依从性的效果及对患者心功能的影响.方法 选取2015年1月~2017年1月100例温州医科大学附属第一医院收治的心脏瓣膜置换术后观察患者作为观察对象,随机分为观察组与对照组,每组50例.对照组采用常规护理模式,观察组在对照组的基础上加入强化健康教育.比较2组患者术后对抗凝药物服用的依从性、不良反应发生率以及心功能评价指标[治疗前后左心房内径(LA)、左室舒张末内径(LVEDD)、左室收缩末内径(LVESD)、左室射血分数(LVEF)、舒张早期和晚期最大血流速度比(E/A)]的差异.结果 观察组对抗凝药物服用的依从性、不良反应发生率以及心功能评价指标均明显优于对照组(P<0.05).结论 健康教育能够有效提升心脏瓣膜置换术患者的术后抗凝用药依从性,有助于改善患者的心功能状况.
Effect of health education on compliance of anticoagulant drugs after heart valve replacement and its effect on cardiac function of patients
Objective To analyze the effect of health education on the compliance of anticoagulant drugs in patients undergoing cardiac valve replacement and its effect on cardiac function. Methods 100 cases of cardiac valve replacement in our hospital from January 2015 to January 2017 were selected as observation objects. They were randomly divided into the observation group and the control group, 50 cases in each group. The control group was treated with conventional nursing mode, and the observation group was given the reinforcement of health education on the basis of the control group. After treatment,the incidence of cardiac function evaluation index of compliance and adverse reactions of anticoagulant drugs taken before and after treatment, the left atrial diameter (LA), left ventricular end diastolic diameter(LVEDD) and left ventricular end systolic diameter (LVESD), left ventricular ejection fraction (LVEF), early and late diastolic peak flow velocity ratio of (E / A) the differences in the two groups were compared. Results The compliance, adverse reaction rate and cardiac function evaluation index of the observation group were better than those of the control group (P<0.05). Conclusion Health education can effectively improve the compliance of postoperative anticoagulant drugs in patients undergoing cardiac valve replacement, and help to improve the heart function of patients.

cardiac valve replacementhealth educationanticoagulant therapycardiac function

林曦、陈蓓蓓、谢强丽

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温州医科大学附属第一医院 心脏监护室,浙江 温州 325000

心脏瓣膜置换术 健康教育 抗凝治疗 心功能

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(11)
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