家庭联合护理对优化心肌梗死病人出院后生活质量方面的影响
Influence of family combined nursing in optimizing the quality of life in patients with myocardial infarction after discharge
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摘要: 目的：探讨家庭联合护理对优化心肌梗死病人出院后生活质量的可行性。方法：选取68例急性心肌梗死并好转出院的病人，随机分为对照组和观察组，各34例。对照组予以常规护理；观察组出院后接受家庭联合护理。2组病人接受干预5个月后，采用健康调查简表SF-36对病人的生活质量进行评估，西雅图心绞痛调查量表对病人的疾病状况进行评价，抑郁自评量表（SDS）和焦虑自评量表（SAS）对的病人抑郁、焦虑水平进行评价。结果：观察组病人的躯体功能、躯体功能引起的角色受限、总体健康评价、活力、情感原因引起的角色受限和心理健康评分均显著高于对照组（P<0.01），而机体疼痛和社会功能评分差异均无统计学意义（P>0.05）。观察组病人的躯体活动受限程度、治疗满意度和疾病认知程度评分均显著高于对照组（P<0.01），而心绞痛发作情况和稳定情况差异均无统计学意义（P>0.05）。观察组病人的SDS评分和SAS评分均明显低于对照组（P<0.01）。结论：家庭联合护理虽然不能降低心肌梗死病人的心绞痛再发风险，但能够有效提高病人出院后的生活质量，缓解病人抑郁和焦虑的心理状态。Abstract: Objective:To explore the feasibility of family combined nursing in optimizing the quality of life in patients with myocardial infarction after discharge.Methods:A total of 68 patients with acute myocardial infarction after discharge were randomly divided into the control group and observation group(34 cases each group).The control group were nursed with routine care,and the observation group were nursed with family combined nursing after discharge.The life quality,disease condition,levels of depression and anxiety in two groups were evaluated using the MOS item short from health survey(SF-36),settle angina questionnair,self-rating depression scale(SDS) and Self-rating anxiety scale(SAS),respectively.Results:The scores of physical function,role limitation caused by physical function,overall health assessment,vitality,role limitation caused by emotion and mental health in observation group were significantly higher than those in control group(P<0.01),and the differences of the scores of pain and social function between two groups were not statistically significant(P>0.05).The scores of physical activities,treatment satisfaction and disease cognition in observation group were significantly than higher those in control group(P<0.01),and the differences of the scores of angina pectoris and stability between two groups were not statistically significant(P>0.05).The scores of SDS and SAS in observation group were significantly than lower those in control group(P<0.01).Conclusions:The family combined nursing can not reduce the recurrence of angina pectoris in patients with myocardial infarction,but which can effectively improve the quality of life,and relieve anxiety and depression of patients after discharge.
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Key words:
- myocardial infarction /
- family combined nursing /
- life quality
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