以时机理论为基础的家庭护理干预对急性心肌梗死患者生活质量的影响

Influence of family nursing intervention basedon timing theory on quality of life in patients with acute myocardial infarction

  • 摘要:
      目的  分析以时机理论为基础的家庭护理干预对急性心肌梗死患者生活质量的影响。
      方法  将102例急性心肌梗死行冠状动脉介入术(PCI)后患者随机分为对照组(n=51)与观察组(n=51),对照组给予常规心内科护理与随访,观察组在对照组基础上采用以时机理论为基础的家庭护理干预。比较2组出院时、出院3个月、出院6个月的治疗依从性、生活质量、心血管事件发生率与再入院率。
      结果  研究过程中,对照组有2例失访或中途退出,观察组有1例中途退出。观察组出院3、6个月后的治疗依从性及生活方式依从性优于对照组,差异有统计学意义(P < 0.05)。观察组出院时及出院3、6个月生活质量评分总分及多个维度评分低于对照组,差异有统计学意义(P < 0.05或P < 0.01)。观察组心血管事件发生率和再入院率均低于对照组,差异有统计学意义(P < 0.05)。
      结论  以时机理论为基础的家庭护理可有效提高急性心肌梗死患者的治疗依从性,改善患者生活质量,降低心血管事件发生率和再入院率。

     

    Abstract:
      Objective  To analyze the influence of family nursing intervention based on timing theory on quality of life in patients with acute myocardial infarction.
      Methods  Totally 102 acute myocardial infarction patients with percutaneous coronary intervention (PCI) were randomly divided into control group (n=51) and observation group (n=51). The control group was given routine cardiology nursing and follow-up, while the observation group was given the family nursing intervention based on timing theory on the basis of the control group. The therapeutic compliance, quality of life, incidence of cardiovascular events and readmission rate at discharge, 3 and 6 months after discharge were compared between the two groups.
      Results  During the study, 2 cases in the control group were lost during follow-up or dropped out, while 1 case in the observation group dropped out. The therapeutic compliance and lifestyle compliance of the observation group at 3 and 6 months after discharge were significantly better than those of the control group (P < 0.05). The total score and score of each dimension of quality of life in the observation group at discharge, 3 and 6 months after discharge were significantly lower than those in the control group (P < 0.05 or P < 0.01). The incidence of cardiovascular events and readmission rate in the observation group were significantly lower than those in the control group (P < 0.05).
      Conclusion  Family nursing based on timing theory can effectively enhance the therapeutic compliance of patients with acute myocardial infarction, improve the quality of life of patients, and reduce the incidence of cardiovascular events and readmission rate.

     

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