摘要
目的研究基于思维导图的延续性护理干预对心脏瓣膜置换术(HVR)后患者抗凝效果的影响。方法选取2021年6月-2022年7月于天津某三甲医院行HVR治疗的80例患者为研究对象,按照随机数字表法分为对照组(40例)与观察组(40例)。对照组给予常规延续性护理干预,观察组应用基于思维导图的延续性护理干预,比较两组服药依从性[Morisky用药依从性问卷(MMAS-8)]、抗凝效果、INR达标率、抗凝相关并发症、生或质量[世界卫生组织生活质量测定表简表(WHOQOL-BREF)]。结果观察组服药依从优良率高于对照组(P<0.05);观察组抗凝治疗优良率与INR达标率均高于对照组(P<0.05);观察组抗凝相关并发症发生率低于对照组(P<0.05);观察组WHOQOL-BREF评分(生理、心理、社会关系、环境)高于对照组(P<0.05)。结论基于思维导图的延续性护理干预可改善HVR患者的服药依从性,提高其INR达标率及术后抗凝效果,降低抗凝相关并发症风险,改善患者生活质量。
Objective To study the effect of continuous nursing intervention based on mind map on anticoagulant effect in patients after heart valve replacement(HVR).Methods From June 2021 to July 2022,80 patients who underwent HVR treatment in a tertiary hospital in Tianjin were selected as the research objects.They were divided into control group(40 patients)and observation group(40 patients)according to the random number table method.The control group was given routine continuous nursing intervention,and the observation group was given continuous nursing intervention based on mind mapping.The medication compliance[Morisky Medication Adherence Scale(MMAS-8)],anticoagulant effect,INR compliance rate,anticoagulant-related complications,health or quality[World Health Organization Quality of Life-Brief Version(WHOQOL-BREF)]were compared between the two groups.Results The excellent and good rate of medication compliance in the observation group was higher than that in the control group(P<0.05).The excellent and good rate of anticoagulant therapy and INR compliance rate in the observation group were higher than those in the control group(P<0.05).The incidence of anticoagulation-related complications in the observation group was lower than that in the control group(P<0.05).The WHOQOL-BREF score(physiology,psychology,social relations,environment)in the observation group was higher than that in the control group(P<0.05).Conclusion Continuous nursing intervention based on mind mapping can improve the medication compliance of HVR patients,improve their INR compliance rate and postoperative anticoagulant effect,reduce the risk of anticoagulant-related complications,and improve the quality of life of patients.
作者
程国佳
CHENG Guo-jia(The First Department of Cardiology,Tianjin Chest Hospital,Tianjin 300222,China)
出处
《医学信息》
2023年第10期186-189,共4页
Journal of Medical Information
关键词
心脏瓣膜置换术
延续性护理
思维导图
抗凝效果
服药依从性
Heart valve replacement
Continuous nursing
Mind map
Anticoagulation effect
Medication compliance
