连续护理对心肌梗死患者出院后生活质量的影响.PDFVIP

《海南医学》2012 年第23 卷第14 期 Vol.23 No.14 July 2012 doi:10.3969/j.issn.1003-6350.2012.14.065 ·护 理· 连续护理对心肌梗死患者出院后生活质量的影响 冯 群 (安康市中心医院心血管二病区，陕西 安康 725000) 【摘要】 目的 探讨连续护理对急性心肌梗死患者出院后生活质量的影响。方法 将我院收治的96 例急 性心肌梗死患者随机分为研究组和对照组，每组各48 例，对照组采用传统护理模式，研究组实施出院前和出院后 为期1个月的连续护理。出院后对两组患者进行随访，了解患者出院后2 d 、4 周、12周饮食、服药、体育锻炼及日 常生活行为的依从性。6 个月后应用生存质量指数评定量表(SF-36QOL)评定患者生存质量。结果 ①研究组 患者出院后4 周、12周饮食、服药、体育锻炼及日常生活行为的依从性明显优于对照组(P0.05) 。②研究组6 个月 后生活质量明显优于对照组，研究组SF-36QOL 各项评分明显高于对照组(P0.05) 。结论 实施连续护理能有 效的提高急性心肌梗死患者出院后饮食、服药、体育锻炼及日常生活行为的依从性，改善患者生活质量。 【关键词】 连续护理；心肌梗死；生活质量；依从性 【中图分类号】R473.5 【文献标识码】A 【文章编号】 1003—6350(2012)14—146—03 Effect of continuous nursing intervention on the quality of life of patients with myocardial infarction. FENG Qun.TheSecondCardiovascularWard,theCentralHospitalofAnkangCity,Ankang725000,Shaanxi,CHINA 【Abstract 】 Objective To investigate the effect of continuous nursing intervention on the quality of life of pa- tients with myocardial infarction. Methods Ninety-six patients of acute myocardial infarction in our hospital were ran- domly divided into the study group and the control group, with 48 patients in each group. Patients in the control group received traditional model of care, while those in the study group were treated by continuous nursing intervention before discharge and one month after discharge. All the patients were followed up. The patients ’diet two days, four weeks, and 12 weeks after discharge, medication, physical exercise and compliance activities of daily living were investigated. The quality of life of patients was investigated by index rating scale (SF-36QOL) 6 month