梁清梅 苏建薇 苏二川

[摘要] 目的 分析心脏移植患者康复期的整体护理效果。 方法 选取2016年1月～2017年12月在我院接受心脏移植患者，共72例，随机分为观察组与对照组，各36例。对照组采用常规护理，观察组在常规护理的基础上加用整体护理，比较两组护理后的SAS、SDS评分、生存质量和护理满意度。 结果 护理前两组患者SAS评分、SDS评分、生存质量评分比较，差异无统计学意义（P>0.05），护理后两组患者的SAS、SDS评分、生存质量评分比较，差异有统计学意义（P<0.05），护理后观察组护理满意度为97.2%，对照组满意度为83.3%，观察组明显高于对照组，差异有统计学意义（P<0.05）。 结论 对心脏移植患者康复期采用整体护理，能够缓解患者的不良情绪，提高护理满意度和术后生存质量。

[关键词] 心脏移植；康复期；整体护理；护理满意度

[中图分类号] R725.4；R473.72 [文献标识码] B [文章编号] 1673-9701（2018）15-0153-03

Holistic nursing during rehabilitation of patients with heart transplant

LIANG Qingmei SU Jianwei SU Erchuan

Department of Cardiothoracic Surgery， People's Hospital of Zhongshan City， Zhongshan 528400， China

[Abstract] Objective To analyze the holistic nursing value of heart transplant patients during the rehabilitation period. Methods A total of 72 patients undergoing heart transplant in our hospital from January 2016 to December 2017 were selected and were randomly divided into observation group and control group， with 36 cases in each group. The control group received conventional nursing. The observation group received holistic nursing on the basis of routine nursing. The SAS， SDS scores， quality of life， and nursing satisfaction were compared between the two groups after nursing. Results There was no significant difference in SAS score， SDS score and quality of life between the two groups before nursing（P>0.05）. There was significant difference in SAS score， SDS score and quality of life between the two groups after nursing， the difference was significant（P<0.05）. The satisfaction rate was 97.2% in the treatment group， which was significant higher than 83.3% in the control group （P<0.05）. Conclusion The use of holistic nursing in recovery period of heart transplant can relieve the bad mood， improve nursing satisfaction and postoperative quality of life.

[Key words] Heart transplantation； Rehabilitation period； Holistic nursing； Nursing satisfaction

心臟移植主要是针对晚期充血性心力衰竭和严重冠状动脉疾病进行的外科移植手术，术后平均生存期为13年[1-3]。随着我国人口老龄化的不断增加及饮食习惯的变化，使心力衰竭和严重冠状动脉疾病发病率越来越多，目前主要的治疗手段即采用心脏移植，但该手术的技术难度大，对护理工作要求高[4-6]。为了提高患者的护理满意度与治疗效果，本文以我院接受心脏移植患者72例作为研究对象，分析心脏移植患者康复期的整体护理效果，现报道如下。

1 资料与方法

1.1 一般资料

选取2006年1月～2017年12月在我院接受治疗的心脏移植手术患者，共72例。纳入标准：（1）签署知情同意书，自愿参加试验；（2）无肿瘤疾病；（3）无沟通障碍，精神正常。排除标准：（1）肝、肾等脏器功能严重不全者；（2）精神疾病、意识障碍者；（3）不愿参与本研究者。基本疾病类型：扩张型心肌病25例、肥厚型心肌病22例、冠心病25例。所……