庄国红,丁力,黄晓莉.出院准备计划和居家中医护理在冠心病患者中的应用效果[J].上海护理,2015,15(6):
出院准备计划和居家中医护理在冠心病患者中的应用效果
The effect of discharge planning and home care in patients with coronary heart disease
DOI:
中文关键词:  出院准备计划  居家护理  冠心病  治疗依从性
英文关键词:discharge planning  home care  coronary heart disease  treatment adherence
基金项目:
作者单位E-mail
庄国红 上海交通大学附属第六人民医院 13761923579@163.com 
丁力 上海交通大学附属第六人民医院  
黄晓莉* 上海
上海交通大学附属第六人民医院 
113611872848@139.com 
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中文摘要:
      【】 目的:探讨出院准备计划和居家护理在冠心病患者中的应用效果。 方法:选择2013年1月至2013年6月在我院因冠心病住院的患者90例为对照组,选择2014年1月至2014年6月在我院因冠心病住院的患者90例为观察组。对照组接受常规健康教育护理方式,观察组在对照组常规护理的基础上进行出院准备计划和居家护理,比较干预后两组的心境状态、治疗依从性。 结果:干预前,心境状态中的7个维度两组差异无统计学意义(P>0.05);干预后在愤怒与混乱上两组差异无统计学意义(P>0.05),在其他5个维度上差异有统计学意义(P<0.05)。出院准备计划和居家护理干预实施后,观察组在遵医用药、合理休息、按时复查、合理饮食、戒烟戒酒、合理锻炼、预防感染等7个维度及总分评分上明显高于对照组,差异有统计学意义(t=5.224、6.035、5.942、4.993、4.798、5.648、6.498,P均为0.000)。结论: 对冠心病患者在常规健康教育的基础上实施出院准备计划和居家护理,能提高患者治疗的积极性,改善患者的心境状态,提高治疗依从性及生活质量。
英文摘要:
      【】 Objective To discuss the effect of discharge planning and home care in patients with coronary heart disease Methods 90 patients with coronary heart disease in our hospital from in January 2013 to June 2013 were selected as control group, 90 patients with coronary heart disease in our hospital from in January 2014 to June 2014 were selected as observation group. Control group was given health education, the observation group was given discharge planning and home care. Compared the two groups after intervention of the state of mind, treatment compliance. Results Before the intervention, seven of the mood state dimension differences between the two groups had no statistical significance (P > 0.05); After the intervention in anger and confusion on the difference between the two groups had no statistical significance (P > 0.05), the other five dimensions difference were statistically significant (P < 0.05).After discharge planning and home care,observation group in the following medical medicine, reasonable rest, review on time, to give up smoking and drinking, reasonable exercise, reasonable diet, prevent infection and other seven dimensions and total score were significantly higher than the control group, differences were statistically significant (t = 5.224, 6.035, 5.942, 4.993, 4.798, 4.993, 4.798, P 0.000). Conclusions On the basis of routine health education in patients with coronary heart disease implementation discharge planning and home care, can improve the enthusiasm of patients, improve the patient"s state of mind, improve the treatment compliance and quality of life.
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