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目的观察综合护理干预对主动脉夹层患者生活质量的影响。方法选择2015年10月-2016年11月于威海市中心医院收治的主动脉夹层Ⅲ型患者28例,随机分为干预组和对照组各14例,对照组给予患者常规护理,干预组进行综合护理干预,包括心理、认知及健康教育等。对2组患者分别于入院第3天及出院当天给予24 h动态血压监测及生活质量量表(SF-36)进行评估。结果出院当天2组患者的收缩压和舒张压均低于入院第3天,且干预组低于对照组,差异均有统计学意义(P<0.05)。出院当天2组患者的8个健康维度身体机能、躯体角色、躯体疼痛,总体健康,活力,社会功能,角色情绪及心理健康生活质量评分均高于入院第3天,且干预组高于对照组,差异均有统计学意义(P<0.05)。结论综合护理干预可显著控制患者血压波动,改善主动脉夹层患者的生活质量,防治疾病发展,提高临床疗效。
Objective To observe the effect of comprehensive nursing intervention on quality of life in patients with aortic dissection. Methods 28 patients with aortic dissection type Ⅲ who were treated in Weihai Central Hospital from October 2015 to November 2016 were randomly divided into intervention group and control group, 14 cases in each group. The control group was given conventional nursing and the intervention group was integrated Nursing interventions, including psychology, cognition and health education. Two groups of patients were given 24-hour ambulatory blood pressure monitoring and Quality of Life Scale (SF-36) on the third day of admission and on the day of discharge. Results On the day of discharge, the systolic and diastolic blood pressures were lower in the two groups than those in the third day of admission, and the intervention group was lower than the control group (P <0.05). On the day of discharge, the eight health dimensions in the two groups of patients were higher than those on the 3rd day after admission on admission in physical fitness, body function, physical pain, general health, vitality, social function, role emotion and mental health, and were higher in the intervention group than in the control group , The differences were statistically significant (P <0.05). Conclusion Comprehensive nursing intervention can significantly control the fluctuation of blood pressure, improve the quality of life of patients with aortic dissection, prevent the development of the disease and improve the clinical curative effect.