Abstract:Objective To investigate the influence of standardized follow-up procedures on self-management behavior of post-operative patients with mechanical heart valve replacement. Methods A total of 123 cases that underwent mechanical valve replacement in Affiliated Hospital of North Sichuan Medical College from January to December 2016 were collected and according to the random number table method, they were divided into experimental group (61 cases) and control group (62 cases), respectively. Considering some cases fatal or lost to fouow-up, finally 58 cases in the experimetal group and 53 cases in the control group had finished. The control group was given conventional guidance, and the experimental group was given standardized follow-up procedures. The scores of self-management behavior between the two groups after discharge for 6 months and 1 year were compared. The scores between the two groups were compared in three dimensions—exercise, cognitive symptoms management, the communication with doctors. Results Scores of the communication with doctors and self management behavior after discharge for 6 months and 1 year in the experimental group had differences, and the differences were remarkably statistically significant (P < 0.01), while there was no significant difference in exercise or cognitive symptoms management (P > 0.05); scores in all the dimensions of the control group after discharge for 6 months and 1 year had remarkably significant differences (P < 0.01). The scores of all dimensions of self-management behavior in experimental group after discharge for 6 months and 1 year were both higher than the control group, and the differences were remarkably significant (P < 0.01). Conclusion The standardized follow-up procedures can significantly improve the self-management behavior of post-operative patients with mechanical heart valve replacement.
杨梦娇 陈蓉 王亚莉▲. 标准化随访流程对心脏机械瓣膜置换术后患者自我管理行为的影响[J]. 中国医药导报, 2019, 16(2): 102-105.
YANG Mengjiao CHEN Rong WANG Yali▲. Influence of standardized follow-up procedures on self-management behavior of post-operative patients with mechanical heart valve replacement. 中国医药导报, 2019, 16(2): 102-105.
[1] Haibo Z,Jinzhong L,Yan L,et al. Low-intensity international normalized ratio(INR)oral anticoagulant therapy in Chinese patients with mechanical heart calve prostheses [J]. Cell Biochem Biophys,2012,62(1):147-151.
[2] 赵树林,董力,石应康,等.心脏瓣膜置换术后抗凝治疗自我监测的临床研究[J].四川大学学报:医学版,2014, 45(5):844-847.
[3] 朱丽,陈莹莹,罗亮春,等.心脏瓣膜置换术后患者抗凝治疗的个案管理[J].护理学杂志,2015,30(16):27-29.
[4] 牟绍兰,邓乾素,牟绍玉,等.基于德尔菲法编制心脏机械瓣膜置换术后患者自我管理评估指标[J].护理学杂志,2016,31(18):36-39.
[5] 程学娟.高血压患者自我管理行为及影响因素的健康生态学模型解释[D].济南:山东大学,2014.
[6] 吕姗姗.心脏瓣膜置换术后患者自我管理行为及影响因素[D].济南:山东大学,2016.
[7] 汪露.健康信念模式改进心脏机械瓣膜置换术后抗凝管理效果的研究[D].南京:南京中医药大学,2015.
[8] John RC. Can A Disease Self-Management Program Reduce Health Care Costs [J]. Med Care,2003,41(6):706-715.
[9] Hunt SA,Baker DW,Chin MH,et al. ACC/AHA guideline for the evaluation and management of chronic heart failure in the adult:executive summary a report of the American college/American heart association task force on practice guidelines(committee to revise the 1995 guidelines for the evaluations and management of heart failure):developed in collaboration with international society and lung transplantation:endorsed by the heart failure society of America [J]. Circulation,2001,104(24):2996-3007.
[10] 孙晓敏,薛刚.自我管理研究回顾与展望[J].心理科学进展,2008,16(1):106-113.
[11] Barlow J,Wright C,Sheasby J,et al. Self-management approaches for people with chronic conditions:a review [J]. Patient Educ Couns,2002,48(2):177-187.
[12] 吴丽华,汪小华,卢钰,等.30例慢性心力衰竭患者实施自我管理的效果[J].中华护理杂志,2012,47(2):176-178.
[13] The National Council on Ageing. Challenges and Success in Chronic Disease Self-Management Program(CDSMP)final report [R]. Washington DC:NCOA,2004:35-40.
[14] 马伟光,郭爱敏,崔英,等.基于网络的自我管理模式在慢性阻塞性肺疾病患者中的应用研究[J].中华护理杂志,2015,50(8):901-905.
[15] 吴慧兰,周淑英,许丽萍,等.延续护理对心脏瓣膜置换术后病人生存质量的影响[J].护理研究,2015,29(4):1303-1306.
[16] 杜世正,袁长蓉.自我管理模式的研究实践进展及思考[J].中华护理杂志,2009,44(11):1048-1051.
[17] 何运花.全程健康教育模式在糖尿病护理管理中的应用分析[J].中国医药科学,2016,6(1):191-193.
[18] 王松,王茜,李艳,等.电话随访对心脏瓣膜置换术后患者抗凝依从性影响的Meta分析[J].中国全科医学,2017, 32(20):4025-4033.
[19] 王子迎,米冬花,王水莲,等.老年慢性心力衰竭患者的自我管理现状及影响因素研究[J].中华护理杂志,2017, 52(4):431-435.
[20] 魏萍,罗红丽,邓静敏,等.协同护理模式对维持性血液透析患者自我管理行为和生活质量的影响[J].河北医学,2016,22(1):163-166.
[21] 魏敏.互动式健康教育对糖尿病患者自我管理能力和生活质量的影响[J].中国医药科学,2018,8(4):134-136.
[22] 方曙静,林征,孙国珍,等.射频消融心房颤动患者华法林服药信念与抗凝影响因素的调查分析[J].中华护理杂志,2011,46(2):161-163.
[23] 陈娟,赵淑娥.慢性心力衰竭患者自我护理行为的研究进展[J].中华护理杂志,2015,50(3):360-364.
[24] 廖旻媛,王明珠,汤群英.冠心病患者冠脉介入术后的生活质量与自我管理行为的相关性研究[J].中国当代医药,2016,23(3):118-120.
[25] 陈婷,马苏亚,胡红莲.实施自我护理管理干预的高血压患者自我护理管理行为与生活质量的相关性研究[J].中国现代医生,2016,54(27):138-141.
[26] 王辰,卢清君.以专科医联体和远程医疗带动基层学科建设[J].中华医院管理杂志,2017,33(1):1-3.
[27] 张李芳,关玉杯,欧添英,等.团体认知行为疗法对直肠癌永久性结肠造口患者心理及自我管理效能感的影响[J].中国当代医药,2016,23(19):180-182.