摘要
目的探讨出院计划在青年急性心肌梗死(AMI)患者中应用的效果。方法将120例青年AMI患者,采用随机数字表法分为对照组和观察组各60例。对照组给予心内科常规护理,定期随访;观察组在此基础上实施出院计划干预,时间为12个月。比较两组患者的自我管理行为得分、一般指标、生活质量评分及急性心脏事件发生率。结果两组患者的自我管理行为得分、一般指标比较,观察组优于对照组,差异有统计学意义(P<0.05)。两组患者的MIDAS总分及各维度得分比较,观察组低于对照组,差异有统计学意义(P<0.05)。急性心脏事件发生率的比较,观察组为3.33%,对照组为15.25%,差异有统计学意义(χ~2=3.885、5.039,P<0.05)。结论对青年AMI患者实施出院计划,能够提高患者的自我管理行为,积极控制高危因素,提高生活质量,减少急性心脏事件的发生。
Objective To discuss the application effect of discharge planning in young patients with acute myocar- dial infarction（AMI）. Methods Totally 120 patients with acute myocardial infarction were randomly divided into the control group（60 cases） and the observation group（60 eases）. Patients in control group was given routine care and regular follow-up of department of cardiology. Patients in observation group was received discharge planning in addition. The intervention lasted 12 months. Self-management behavior,general indicators,quality of life and the rate of acute cardiac events between the two groups were compared. Results Self-management behavior and general indicators in the observation group were better than that of the control group, there was significant difference between the two groups（P〈0.05）. The life of quality and each dimension score of the observation group was lower than that of the control group, there was statistical significance（P〈0.05）. The rate of acute cardiac events of the observation group was 3.33% ,while the control group was 15. 25%. There was significant difference between the two groups（x2 = 3. 885, 5. 039 ,P〈0.05）. Conclusions Discharge planning model can improve the self-management behavior for patients with acute myocardial infarction, and actively control the risk factors associated with disease, improve the quality of life and reduce the incidence of acute cardiac events.
出处
《护士进修杂志》
2017年第11期983-987,共5页
Journal of Nurses Training
基金
江苏省徐州市社会发展科技项目(编号:KC14SH017)
关键词
出院计划
青年
急性心肌梗死
生活质量
护理
Discharge planning
Young people
Acute myocardial infarction
Quality of life
Nursing
