Effect of therapeutic communication system intervention mode combined with staged rehabilitation on postoperative curative effect and quality of life of patients with cardiac valve
10.3760/cma.j.cn211501-20200608-02677
- VernacularTitle:治疗性沟通系统干预模式结合阶段性康复对心脏瓣膜置换患者术后疗效及生命质量的影响
- Author:
Guoqing WEI
1
;
Haihong YAN
;
Jing YOU
;
Haidong GUO
Author Information
1. 青海省心脑血管病专科医院重症医学科，西宁 810000
- Keywords:
Stage rehabilitation;
Therapeutic communication system;
Valvular heart disease;
Curative effect;
Quality of life
- From:
Chinese Journal of Practical Nursing
2021;37(18):1373-1377
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore and analyze the effect of therapeutic communication system (TCS) intervention mode on Therapeutic effect and quality of life in patients with cardiac valve replacement.Methods:A total of 103 patients with cardiac valve replacement admitted from February 2018 to February 2019 were selected and divided into observation group (51 cases) and control group (52 cases) according to the random number table method. Patients in the control group were treated with staged rehabilitation intervention, while patients in the observation group were treated with staged rehabilitation combined with TCS intervention mode. Patients' prognosis, the score of Short Form 36-item Health Survey (SF-36) before and after intervention, the changes in the score of the Morisky label Scale (MMAS-8) before and after intervention, and perioperative indicators were recorded and compared between the two groups.Results:The quality of life scores of the observation group at 1 month,3 months and 6 months after intervention were (64.42±9.51), (76.23±9.19), (87.24±9.21) points, which were significantly higher than (58.73±9.38), (61.23±9.29), (76.29±9.42) points of the control group ( t values were 3.057, 8.237, 5.964, P<0.05);and also higher than those before intervention (54.29±9.14, 54.45± 9.31), the difference was statistically significant ( F values were 11.358, 7.581, P<0.001); the ICU hospitalization time (43.25±1.72),bed rest time (42.13±8.32) and hospitalization time (16.32±4.20) days in the observation group were significantly lower than (54.34±1.93), (72.33±8.54), (21.24±4.36) days in the control group, and the difference was statistically significant ( t values were 30.766, 18.174, 5.831, P<0.001); the drug compliance (7.21±0.17) was significantly higher than that of the control group (6.01±0.34) ( t value was 22.588, P<0.001). Conclusion:Stage rehabilitation combined with TCS intervention mode can effectively improve the prognosis and perioperative indicators of patients with heart valve, and improve the quality of life of patients, which is worthy of clinical application.
