| 范艳梅,王丽娟,王晓芳,等.协同护理对急性心肌梗死病人心功能及自我护理能力的影响[J].安徽医药,2019,23(4):703-706. |
| 协同护理对急性心肌梗死病人心功能及自我护理能力的影响 |
| Effect of collaborative nursing on cardiac function and self-care ability in patients with acute myocardial infarction |
| 投稿时间：2017-08-09 |
| DOI： |
| 中文关键词: 心肌梗死 自我护理 健康教育 心脏功能试验 心钠素 每搏输出量 生活质量 协同护理 |
| 英文关键词: Myocardial infarction Self care Health education Heart function tests Atrial natriuretic factor Stroke volume Quality of life Collaborative care |
| 基金项目: |
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| 中文摘要: |
| 目的 探究协同护理干预应用于急性心肌梗死病人对心功能及自我护理能力的影响,以期提高急性心肌梗死病人的生活质量。方法 选取西安交通大学医学院第二附属医院2014年1月至2016年12月收治的84例急性心肌梗死,采用随机数字表法分成研究组和对照组,各42例。对照组采用常规护理,研究组采用协同护理。于病人入院时和护理15 d后比较两组左心室射血分数(LVEF)和N末端B型尿钠肽(NT-proBNP)水平,并比较两组自我护理能力(ESCA评分)及生活质量(SF-36)。结果 两组干预前LVEF和NT-proBNP水平比较差异无统计学意义(P＞0.05)；干预后研究组LVEF值[(59.6±8.7)%]高于对照组[(46.2±8.6)%](t=7.099,P＜0.001),NT-proBNP值[(426.3±18.9)μg/L]低于对照组[(481.2±15.4)μg/L](t=14.594,P＜0.001)。两组在干预前自我护理能力差异无统计学意义(P＞0.05)；干预后,研究组自我护理能力总分及自我护理技能、自我概念、健康知识和自护责任感等评分均高于对照组(P＜0.01)。干预前两组生活质量评分差异无统计学意义(P>0.05),干预后研究组身体健康、心理健康评分分别为(85.8±12.4)分、(89.3±12.8)分,对照组分别为(80.0±13.9)分、(83.1±13.4)分,研究组显著高于对照组(t=2.018,P=0.047；t=2.168,P=0.033)。结论 急性心肌梗死病人采取协同护理干预,有助于改善其心功能,且能提高病人自我护理能力,改善生活质量。 |
| 英文摘要: |
| Objective To explore the effects of collaborative nursing intervention on cardiac function and self-care ability in patients with acute myocardial infarction,and to improve the life quality of patients with acute myocardial infarction.Methods Eighty-four patients with acute myocardial infarction admitted to the Second Affiliated Hospital of Xi'an Jiaotong University from January 2014 to December 2016 were selected and randomly assigned into study group and control group,with 42 cases in each group.Patients in the control group received routine care,while patients in the study group received coordinated care.The left ventricular ejection fraction (LVEF) and N-terminal B-type natriuretic peptide (NT-proBNP) levels were compared between the two groups at the time of admission and after 15 days of care.The self-care ability (ESCA score) and life quality (SF-36) were compared between the two groups.Results There was no significant difference in the levels of LVEF and NT-proBNP between the two groups before intervention (P>0.05).The LVEF value of the study group [(59.6±8.7)%] was higher than that of the control group [(46.2±8.6)%] (t=7.099,P<0.001).NT-proBNP value [(426.3±18.9) μg/L] was lower than that of the control group [(481.2±15.4) μg/L] (t=14.594,P<0.001).There was no significant difference in self-care ability between the two groups before intervention (P>0.05).After the intervention,the scores of self-care ability,self-care skills,self-concept,health knowledge and self-care responsibility of the study group were higher than those of the control group (P<0.01).There was no significant difference in the quality of life scores between the two groups before intervention (P>0.05).The physical and mental health scores of the study group were significantly higher than those of the control group [(85.8±12.4) points vs. (80.0±13.9) points,(89.3±12.8) points vs. (83.1±13.4) points],and the differences were statistically significant (t=2.018,P=0.047;t=2.168,P=0.033).Conclusion Cooperative nursing intervention in patients with acute myocardial infarction can improve their heart function and improve their self-care ability and quality of life. |
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