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| Influence of standardized follow-up procedures on self-management behavior of post-operative patients with mechanical heart valve replacement |
| YANG Mengjiao CHEN Rong WANG Yali▲ |
| Department of Cardiothoracic Surgery, Affiliated Hospital of North Sichuan Medical College, Sichuan Province, Nanchong 637000, China |
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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.
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