摘要
目的:观察“医院-社区-家庭”康复护理在主动脉夹层动脉瘤腔内修复术后患者中的应用效果。方法:选取78例主动脉夹层动脉瘤腔内修复术后患者为研究对象,按照随机数字表法分为对照组和研究组各39例。对照组实施常规护理,研究组在对照组基础上实施“医院-社区-家庭”康复护理,比较两组护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、睡眠质量[匹兹堡睡眠质量指数(PSQI)]评分、生命质量[简明健康状况调查量表(SF-36)]评分和并发症发生率。结果:护理后,研究组SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05);研究组PSQI评分低于对照组,差异有统计学意义(P<0.05);研究组生理机能、生理职能、躯体疼痛、一般健康状况、精力、社会功能、情感职能及精神健康等生命质量评分均高于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:“医院-社区-家庭”康复护理联合常规护理应用于主动脉夹层动脉瘤腔内修复术后患者,可改善患者负性情绪,提高睡眠质量和生命质量,其效果优于单纯常规护理。
Objective:To observe application effects of“hospital-community-family”rehabilitation nursing in patients after endovascular repair of aortic dissecting aneurysm.Methods:78 patients after endovascular repair of aortic dissecting aneurysm were selected as the research objects,and were divided into control group and study group according to the random number table method,39 cases in each group.The control group was given routine nursing,while the study group receives the“hospital-community-family”rehabilitation nursing on the basis of that of the control group.The scores of negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],the sleep quality[Pittsburgh sleep quality index(PSQI)],the quality of life[short form health survey(SF-36)],and the incidence of complications were compared between the two groups before and after the nursing.Results:After the nursing,the SAS and SDS scores of the study group were lower than those of the control group,and the differences were statistically significant(P<0.05).The PSQI score of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).The quality of life scores of physiological role,physiological function,physical pain,general health status,vitality,social function,emotional function and mental health in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:The“hospital-community-family”rehabilitation nursing combined with the routine nursing for the patients after endovascular repair of aortic dissecting aneurysm can improve the patients’negative emotions and improve the sleep quality and the quality of life.Moreover,it is superior to single routine nursing.
作者
廉洁
LIAN Jie(Department of Cardiac Surgery of the 7th People’s Hospital of Zhengzhou,Zhengzhou 450000 Henan,China)
出处
《中国民康医学》
2022年第10期162-165,共4页
Medical Journal of Chinese People’s Health
关键词
主动脉夹层动脉瘤
医院-社区-家庭
康复护理
负性情绪
睡眠
生命质量
Aortic dissecting aneurysm
Hospital-community-family
Rehabilitation nursing
Negative emotion
Sleep
Quality of life
