心脏机械瓣膜置换术后患者连续护理的价值。
The value of continuous nursing in patients after cardiac mechanical valve replacement.
机构信息
Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, 350001, Fujian, P. R. China.
出版信息
J Cardiothorac Surg. 2020 Oct 6;15(1):299. doi: 10.1186/s13019-020-01326-5.
OBJECTIVE
The purpose of this study was to explore the value of continuous nursing in patients after cardiac valve replacement.
METHODS
The clinical data of 116 patients after cardiac mechanical valve replacement from January 2017 to January 2018 were analysed retrospectively. According to the nursing mode, the patients were divided into two groups: the continuous nursing group (group A, n = 56) and the conventional nursing group (group B, n = 60).
RESULTS
The continuous nursing group exhibited significantly decreased SAS and SDS scores 1 year after surgery compared to the preoperative SAS and SDS scores(P < 0.05). The SAS and SDS scores of the continuous nursing group were significantly better than those of the traditional nursing group 1 year after surgery(P < 0.05). There were 4 patients with anticoagulant complications after discharge in the continuous nursing group, and 13 cases of anticoagulant complications in the conventional nursing group. There was a significant difference between the two groups.
CONCLUSION
Continuous nursing improves patient compliance with treatment and reduces the occurrence of postoperative anticoagulation complications. The patient also receives proper psychological evaluations, which relieve patient anxiety and depression.
目的
本研究旨在探讨心脏瓣膜置换术后连续护理的价值。
方法
回顾性分析 2017 年 1 月至 2018 年 1 月间 116 例心脏机械瓣膜置换术后患者的临床资料。根据护理模式，将患者分为连续护理组（A 组，n=56）和常规护理组（B 组，n=60）。
结果
连续护理组术后 1 年 SAS 和 SDS 评分均明显低于术前（P<0.05），且术后 1 年 SAS 和 SDS 评分均明显优于常规护理组（P<0.05）。连续护理组出院后抗凝并发症 4 例，常规护理组抗凝并发症 13 例，两组比较差异有统计学意义。
结论
连续护理提高了患者对治疗的依从性，减少了术后抗凝并发症的发生。同时，患者还接受了适当的心理评估，缓解了患者的焦虑和抑郁情绪。
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