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| Application of comprehensive health management based on timing theory in elderly patients after valve replacement |
| ZHANG Ting1 LUO Changquan2 QIN Chengcheng3 ZHANG Li4 WANG Ansu5 |
1.College of Nursing, Zunyi Medical University, Guizhou Province, Zunyi 563000, China;
2.Department of Nursing, Luzhou People′s Hospital, Sichuan Province, Luzhou 646000, China;
3.Department of Nursing, Zunyi Medical and Pharmaceutical College, Guizhou Province, Zunyi 563000, China;
4.Discipline Inspection Commission Supervision Office, Affiliated Hospital of Zunyi Medical University, Guizhou Province, Zunyi 563000, China;
5.Department of Spine Surgery, Affiliated Hospital of Zunyi Medical University, Guizhou Province, Zunyi 563000, China |
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Abstract Objective To explore the impact of comprehensive health management based on timing theory on medication compliance and quality of life of elderly patients after valve replacement. Methods From January 2018 to June 2019, a total of 94 elderly patients who underwent heart valve replacement surgery in the Department of Cardiovascular Surgery of Affiliated Hospital of Zunyi Medical University were divided into control group (48 cases) and intervention group (46 cases) by using random number table method. Patients in both groups were given routine care and guidance before discharge. The intervention group implemented comprehensive health management based on timing theory on the basis of the control group. The medication compliance and quality of life of the two groups were evaluated before discharge and one, three and six months after discharge. Results The medication compliance scores of patients in the intervention group at one, three and six months after discharge were higher than those in the control group, and the differences were statistically significant (P ＜ 0.05). There was no statistically significant difference in medication compliance scores between the two groups after discharge from the hospital (P ＞ 0.05). Comparing the scores of time factors between the two groups, and the difference was highly statistically significant (P ＜ 0.01). There were no interaction in the dimensions of physiological field, social relations, family friction, and appetite (P ＞ 0.05), while there were interactions in other dimensions (P ＜ 0.05). The results of the comparison between groups showed that the differences were statistically significant in the total score of quality of life, overall condition, psychological field, social relationship, environmental field, and family friction score between two groups in each time point after discharge (P ＜ 0.05). Conclusion Comprehensive health management based on the timing theory can effectively improve medication compliance and quality of life of elderly patients after valve replacement.
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