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《护理学报》2017,(9)
目的探讨以"生命网"为基础的延续性护理在冠心病患者中的应用效果。方法选取冠心病的患者120例,采用随机数字表法分为对照组和观察组各60例。对照组给予常规护理,观察组在对照组的基础上给予"生命网"为基础的延续性护理。观察比较2组患者干预前后的冠心病的疾病知识和患者生存质量。结果干预后观察组患者冠心病概念、危险因素、诱发因素、临床表现、检查、治疗方法、药物知识和康复知识各项维度得分均高于对照组(P0.05);观察组躯体活动受限程度、心绞痛稳定状态、心绞痛发作情况、治疗满意程度、疾病认识程度及总分均高于对照组,差异具有统计学意义(P0.05)。结论以"生命网"为基础的延续性护理可提高冠心病患者对疾病的了解,预防疾病的发生及改善生存质量。 相似文献
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目的观察延续护理干预对膀胱癌患者术后治疗依从性及生存质量的影响。方法选取2014年3月~2016年2月我院收治的膀胱癌患者64例。按照入院顺序分为对照组和观察组各32例。对照组予以常规护理干预,观察组在对照组基础上予以延续护理干预。观察对比两组治疗依从率及干预前后生存质量。结果观察组治疗依从率为90.63%,显著高于对照组的68.75%,差异有统计学意义(P0.05);干预前,两组生存质量对比,差异无统计学意义(P0.05);干预后,观察组生存质量总分显著高于对照组,差异有统计学意义(P0.05)。结论延续护理干预应用于膀胱癌患者术后治疗,可明显提高患者治疗依从性,改善患者生存质量。 相似文献
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目的探讨延续护理对心脏瓣膜置换术后患者生存质量的影响。方法将纳入研究的80例行心脏瓣膜置换手术出院患者根据数字表法随机分成两组,对照组(n=40例)实施常规护理干预,观察组(n=40例)在对照组基础上实施延续护理干预。干预12个月后,比较两组患者干预前后生存质量、药物治疗依从性、并发症及不良反应发生率、患者满意度。结果观察组药物治疗依从率(92.5%)和患者满意度(95.0%)高于对照组(75.0%,77.5%),差异有统计学意义(P0.05),而并发症及不良反应发生率(5.0%)低于对照组(22.5%);两组干预后心理、独立性、社会关系、环境、生理等生存质量评分均高于干预前(P0.05),且观察组干预后生存质量评分增高较对照组更为显著(P0.05)。结论延续护理可明显改善心脏瓣膜置换术后患者的生存质量,提高药物治疗依从性和患者满意度,同时还可降低并发症及不良反应发生率。 相似文献
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马向鹰 《临床心身疾病杂志》2016,(Z2):183-183
目的:分析护理干预对冠心病心绞痛患者生存质量的影响。方法:回顾分析2015年3月至2016年3月期间在我院接受治疗的102例冠心病心绞痛患者临床资料,将其随机分为对照组和观察组,每组51例患者。对照组患者给予常规护理干预,观察组患者给予针对性的护理干预,对比两组患者生存质量。结果:观察组患者临床治疗有效率明显高于对照组,差异有统计学意义(P<0.05);观察组患者生存质量评分高于对照组,差异有统计学意义(P<0.05)。结论:护理干预可改善冠心病心绞痛患者生存质量,减轻心绞痛症状,促进患者的康复,具有重要的临床意义。 相似文献
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目的探讨基于“生命网”的护理干预模式在冠心病合并抑郁症患者中的应用。方法2020年6月—2021年6月选取冠心病合并抑郁症患者80例作为研究对象,按照组间基本特征均衡可比的原则分为观察组和对照组,各40例。对照组行常规健康指导,观察组在对照组基础上实施基于“生命网”的护理干预模式,干预时间为3个月。采用冠心病自我管理行为量表、医院焦虑抑郁量表和西雅图心绞痛问卷比较两组干预前后自我管理行为、不良情绪及生活质量改善情况。结果干预后,观察组自我管理行为总评分、西雅图心绞痛问卷评分高于对照组(P<0.05),医院焦虑抑郁量表评分低于对照组(P<0.05)。结论基于“生命网”的护理干预模式能有效提高冠心病合并抑郁症患者自我管理能力,减轻患者不良情绪,改善患者生活质量。 相似文献
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[目的]探讨协同护理模式对慢性心力衰竭病人自我护理能力的影响。[方法]采用随机数字表法将96例慢性心力衰竭病人分为观察组和对照组各48例,对照组予常规的护理模式,包括饮食、休息与运动、用药指导和预防感染等措施,观察组在常规护理的基础上运用协同护理模式,采用自我护理能力测定量表(ESCA)对两组病人干预前后的自我护理能力进行评价并比较。[结果]干预后3个月观察组病人的自我护理技能、自我责任感、自我概念及健康知识水平得分显著高于对照组(P0.01)。[结论]协同护理模式以其独特的理念促进病人及家属共同参与护理,提供优质、高效护理,帮助解决病人的各种健康问题,以达到提高病人自我护理能力的目的。 相似文献
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《Journal of neonatal nursing : JNN》2018,24(1):13-16
Bliss is the UK's leading charity for babies born premature or sick, this paper explores the vital role of Bliss in supporting babies born premature or sick and in particular, the role Bliss plays in promoting family-centred care. The philosophy and benefits of family-centred care are well recognised yet there are still some barriers to implementing family-centred care in a neonatal setting. Bliss developed the Bliss Baby Charter in 2009 to standardise high quality family-centred care across the UK. This paper will discuss the principles of the Bliss Baby Charter and explore the emerging model of Family Integrated care and its relationship to family-centred care. 相似文献
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目的:评价基于多学科协作的缓和医疗在心力衰竭患者中的应用效果。方法:计算机检索PubMed、Embase、CINAHL、The Cochrane Library、中国生物医学文献数据库、中国知网、万方数据库、维普等中英文数据库中有关心力衰竭患者实施缓和医疗的随机对照试验,检索时限为建库至2020年12月31日。由2名研... 相似文献
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Ezekowitz JA Thai V Hodnefield TS Sanderson L Cujec B 《Journal of pain and symptom management》2011,42(3):379-387
Context
Heart failure (HF) is a leading cause of death and disability, and despite optimal care, patients may eventually require palliative care. Little is known about how palliative care questionnaires (the Edmonton Symptom Assessment Scale [ESAS] and the Palliative Performance Scale [PPS]) perform compared with HF assessment using the New York Heart Association (NYHA) functional class and the Kansas City Cardiomyopathy Questionnaire (KCCQ).Objectives
To assess the utility of a palliative care questionnaire in patients with HF.Methods
One hundred and five patients (mean age = 65 years, 76% male, mean ejection fraction = 28%) followed in an HF clinic were surveyed with the NYHA, PPS, ESAS, and KCCQ.Results
The PPS and ESAS were each correlated to the NYHA class (P < 0.0001 for both) and the KCCQ score (PPS: R2 = 0.57; ESAS: R2 = −0.72; both P < 0.0001). There were 33 patients who either died (10 deaths) or were hospitalized (26 patients) for more than one year. In addition to age and gender, a higher (worse) ESAS score trended toward significance (P = 0.07) and a lower (worse) PPS was a significant (P = 0.04) predictor of all-cause hospitalization or death.Conclusion
In a cohort of HF patients, we found a modest correlation with NYHA class and KCCQ assessment with the PPS and ESAS, two standard palliative care questionnaires. Given the difficulty in identifying patients with HF eligible for palliative or hospice care, these tools may be of use in clinical practice. 相似文献16.
Clark AM Reid ME Morrison CE Capewell S Murdoch DL McMurray JJ 《Journal of advanced nursing》2008,61(4):373-383
Title. The complex nature of informal care in home‐based heart failure management. Aim. This paper is a report of a study to examine the complexities of informal caregiving for people with chronic heart failure. Background. Little is known of the activities involved and underlying informal care. Heart failure is a common and burdensome condition in which carers play an important management role. Method. Semi‐structured interviews were carried out with 30 informal carers nominated by patients with mild‐to‐moderate heart failure (24 spouses, four children, one sibling and one neighbour). Interviews examined knowledge of heart failure, its effects, reported management practices and concerns, decision making and support. The data were collected in 2001. Findings. The management of heart failure was a shared and ongoing responsibility between the carer and patient. Carers’ clinical knowledge of the condition and management was often limited, but they developed extensive knowledge of its personal effects on the patient. Invisible care activities included monitoring signs of symptom exacerbation and energy boundaries against perceived current and future demands and priorities. Visible care activities included medication management, dressing, bathing and help‐seeking. Carers responded to patients’ capacities, and adopted philosophies that sought to foster independence while facilitating as normal a life for the patient as was possible and safe. Conclusion. Interventions for informal carers around effective chronic heart failure management should address both visible and invisible informal caring. Future research is needed to develop interventions with carers to improve quality of care, reduce costs and improve patient quality of life. More research is needed to explore the complexities of lay caregiving and to explore the invisible dimensions of informal care further. 相似文献
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目的:探讨风湿性心脏病瓣膜置换术患者术后康复护理方法及效果.方法:将252例患者随机分为观察组和对照组各126例.对照组实施术后常规护理;观察组在对照组基础上加强术后康复护理干预,为患者制订详细的康复护理方案,进行心理康复护理、康复锻炼指导、心理康复护理.结果:观察组患者接受护理后食欲、睡眠、疲乏、自理能力、运动状况显著优于对照组,且对护理的满意度更高,两组比较差异有统计学意义(P<0.01).结论:对风湿性心脏病瓣膜置换术患者在常规护理基础上加强术后康复护理干预可促进患者康复,并提高其对护理的满意度. 相似文献
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再次心脏瓣膜替换术病人围手术期护理 总被引:2,自引:1,他引:1
总结17例再次换瓣手术患护理体会。认为再次换瓣病人病情重,心静功能差,术前、术后护理有别于首次换瓣病人。术前严密监测心功能变化,防止一切造成心功能恶化的因素,要求病人严格卧床休息,注意药物应用的护理,严格记录出入量;加强感染性心内膜炎的护理,密切观察体温变化;做好抗凝治疗的护理,术前3天停服抗凝剂。病情恶化快需急诊手术,术前静脉注射VitK1 20mg;术后低心排是死亡的主要原因之一,监测血流动力学指标、尿量、心率;观察恶性心律失常及血管活性药物应用的监护;呼吸机使用时间相对延长,加强呼吸功能监测及肾脏保护。 相似文献
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[目的]探讨冠心病病人疾病感知与自护依从性的相关性,为采取有效的个体化护理干预、促进疾病康复提供循证基础。[方法]采用Mishel疾病不确定感量表对70例冠心病病人进行评估,观察病人3个月内自护行为的相关指标。[结果]疾病不确定感得分越高,戒烟及运动依从性越低;服药依从性与疾病不确定感无明显相关性。[结论]冠心病病人疾病不确定感会影响其自护依从性,临床中应采用以问题为中心的护理干预,实施个体化健康教育采增强病人疾病知识并加强随访,降低疾病不确定感,从而提高自我护理能力促进疾病康复。 相似文献