护理干预对冠脉搭桥患者术后健康相关行为影响.doc

护理干预对冠脉搭桥患者术后健康相关行为影响[摘要] 目的 探讨连续性护理干预对冠脉搭桥患者术后健康相关行为的影响。方法 将100例老年冠状动脉搭桥手术患者随机分为对照组和观察组,各50例。对照组接受常规治疗和护理,观察组在此基础上实施连续性护理干预。比较两组患者干预前后的术后健康相关行为。结果 干预后,观察组在营养、运动、药物管理、并发症管理、吸烟等5个术后健康相关行为方面明显优于对照组,差异有统计学意义(P0.05)。结论 连续性护理干预可有效改善冠脉搭桥患者术后健康相关行为,促进患者康复。 [关键词] 冠状动脉搭桥手术;健康相关行为;护理 [中图分类号] R473.6 [文献标识码] A [文章编号] 1673-9701(2010)06-67-03 Impact of Nursing Intervention on Postoperative Health-related Behaviors in Patients Undergoing Coronary Artery Bypass Graft YIN WeihuaCAO Cuiwu Fifth Peoples Hospital of Yiyang City in Hunan Province,Yiyang 413000,China [Abstract] Objective To examine the effect of continuous nursing care on postoperative health-related behaviors in patients undergoing coronary artery bypass graft(CABG). Methods 100 cases of elderly CABG patients were randomly assigned to the control group and observation group each comprising 50 cases. The former received the routine therapy and nursing care,and the observation group received the continuous nursing interventions in addition. The postoperative health-related behaviors were compared before and after intervention between both two groups. Results All five aspects of the postoperative health-related behaviors including nutrition,activity,drug administration,complication management and smoking the observation group after intervention were superior to those of the control group, showing significant differences between both two groups(P0.05). Conclusion Continuous nursing intervention can effectively improve the postoperative health-related behaviors of CABG patients,facilitating the recovery of them. [Key words] Coronary artery bypass graft; Health-related behavior; Nursing care 冠状动脉搭桥手术是国际上公认的治疗冠心病最有效的方法之一,能有效缓解心肌缺血症状,提高生活质量。健康相关行为是指人类个体和群体的与健康和疾病有关的行为,是人们保持健康或罹患疾病的主要原因之一。冠心病作为一种行为相关性疾病,手术仅是其治疗的一部分,术后正确的健康相关行为才是确保手术效果、促进患者康复的主要因素。老年患者是冠状动脉搭桥手术的主要人群,其术后健康相关行为较差,需要医护人员的健康指导。但目前对冠状动脉搭桥手术患者的健康教育缺乏计划性、连续性与动态性[1]。本研究通过对50例冠脉搭桥患者实施连续性护理干预,旨在探讨连续性护理干预对冠脉搭桥患者术后健康相关行为的影响,为改善其术后健康相关行为提供依据。 1对象与方法