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出院计划对缺血性心脏病患者生活物质质量的有效性。

Effectiveness of discharge-planning on physical quality of life of patients with ischemic heart disease.

作者信息

Mazloum Seyyed Reza, Heidari-Gorji Mohammad Ali, Bidgoli-Gholkhatmi Maryam, Agayei Nayereh

机构信息

Department of Nursing, Mashhad University of Medical Sciences, Mashhad, Iran.

Department of Nursing, Mazandaran University of Medical Sciences, Sari, Iran.

出版信息

Int J Appl Basic Med Res. 2016 Apr-Jun;6(2):129-33. doi: 10.4103/2229-516X.179018.

Abstract

BACKGROUND AND AIM

One of the goals of health care team is to improve the quality of life of patients during and after hospitalization period. Therefore, this study aimed to examine the effect of performing discharge planning on ischemic heart disease patient's physical quality of life.

METHODS

This quasi-experimental study was performed on 74 ischemic heart disease patients which randomly allocated to discharge-planning group (n = 37) and usual care group (n = 37). The discharge-planning included the patients' educational needs, self-care instructions for patients, and caregivers. This program was performed through supporting patients during hospitalization and after discharge. The physical aspect of quality of life was assessed by standard questionnaire Short Form 36 and the data were analyzed through Mann-Whitney, independent t-test, variance analysis, Friedman and Wilcoxon.

RESULTS

There was no significant difference between intervention and control groups in physical aspects of the quality of life before intervention (P = 0.423) while two groups were significantly different after intervention (P = 0.000) and quality of life of patients in the case group improved significantly.

CONCLUSION

Applying the discharge-planning program as an effective, efficient, cost-effective, and noninvasive intervention on physical aspects of the quality of ischemic heart disease patients' lives is useful and helpful. Hence, it is recommended to use this program to promote and improve the quality of ischemic heart disease patients' lives.

摘要

背景与目的

医疗团队的目标之一是在患者住院期间及出院后提高其生活质量。因此,本研究旨在探讨实施出院计划对缺血性心脏病患者身体生活质量的影响。

方法

本准实验研究对74例缺血性心脏病患者进行,随机分为出院计划组(n = 37)和常规护理组(n = 37)。出院计划包括患者的教育需求、患者及护理人员的自我护理指导。该计划通过在患者住院期间及出院后提供支持来实施。生活质量的身体方面通过标准问卷简式36进行评估,数据通过曼-惠特尼检验、独立t检验、方差分析、弗里德曼检验和威尔科克森检验进行分析。

结果

干预前,干预组和对照组在生活质量的身体方面无显著差异(P = 0.423),而干预后两组有显著差异(P = 0.000),病例组患者的生活质量显著改善。

结论

将出院计划项目作为一种有效、高效、具有成本效益且无创的干预措施应用于缺血性心脏病患者生活质量的身体方面是有用且有帮助的。因此,建议使用该项目来促进和提高缺血性心脏病患者的生活质量。

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