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电话咨询对冠状动脉旁路移植术后出院患者生活质量的影响。

Impact of telephone counseling on the quality of life of patients discharged after coronary artery bypass grafts.

机构信息

Department of health economics and management, School of public health, Hamadan University of Medical Sciences, Hamadan, Iran.

Department of Medical Surgical Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.

出版信息

Patient Educ Couns. 2017 Dec;100(12):2290-2296. doi: 10.1016/j.pec.2017.06.010. Epub 2017 Jun 9.

DOI:10.1016/j.pec.2017.06.010
PMID:28625860
Abstract

BACKGROUND

This study aimed to assess the impact of telephone counseling on quality of life in patients with coronary artery bypass graft.

METHODS

A quasi-experimental study was conducted with 71 discharged patients after coronary artery bypass graft surgery at Ekbatan Edcuational hospital in Hamadan, Iran, in 2014. The patients were randomly allocated into intervention (n=36) and control group (n=35). The intervention group received education and counseling about therapeutic plan via telephone after discharge. Patients in the control group received only routines. All patients completed the quality of life questionnaire before and after the intervention period of five weeks.

RESULTS

There was no significant difference between intervention and control group about quality of life before intervention (p=0.696). However, there was significant and positive deference between the two groups in favor of the telephone counseling after the intervention (P=0.01) and control group (P=0.04). Quality of life in the intervention group was significantly better compared to control group (P=0.01).

CONCLUSIONS

Telephone counseling could be a cost-effective patient counseling plan for therapeutic adherence after coronary artery bypass surgery in order to improve the patients' quality of life.

PRACTICE IMPLICATIONS

Telephone counseling is feasible to implement and well accepted for patient counseling for many diseases.

摘要

背景

本研究旨在评估电话咨询对冠状动脉旁路移植患者生活质量的影响。

方法

2014 年,在伊朗哈马丹的埃克巴坦教育医院对 71 例冠状动脉旁路移植术后出院患者进行了一项准实验研究。患者被随机分为干预组(n=36)和对照组(n=35)。干预组在出院后接受关于治疗计划的教育和电话咨询。对照组仅接受常规治疗。所有患者在干预期(五周)前后均完成生活质量问卷。

结果

干预前,干预组和对照组的生活质量无显著差异(p=0.696)。然而,干预后两组之间存在显著且积极的差异,电话咨询组(P=0.01)和对照组(P=0.04)均如此。与对照组相比,干预组的生活质量明显更好(P=0.01)。

结论

电话咨询是冠状动脉旁路手术后提高患者生活质量、增强治疗依从性的一种具有成本效益的患者咨询计划。

实践意义

电话咨询对于许多疾病的患者咨询是可行的,并且很受欢迎。

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