CAJ | 학술논문

目的：探讨信息－管理－关系三位一体延伸护理对心脏瓣膜置换术出院患者自我护理行为的影响。方法根据入院时间先后次序，将37例心脏瓣膜置换术患者设为对照组，住院期间接受常规护理，出院后电话随访和常规复查；42例心脏瓣膜置换术患者设为研究组，住院期间接受常规护理，出院后实施信息－管理－关系三位一体延伸护理，干预时间为出院后第2～8周。干预前后采用改良版心脏病自我护理行为评价量表（ self nursing behavior assessment of heart disease ， SNBAOHD）对患者进行测评。结果干预后两组患者除自觉采取低盐饮食和遵医嘱服药外，SNBAOHD其他各条目得分组间比较，差异均有统计学意义（P＜0．05）。结论信息－管理－关系三位一体延伸护理，使患者出院后在家便可接受连贯性医疗照护，有效提高其院外自我护理能力，进而预防病情反复和迁延。
목적：탐토신식－관리－관계삼위일체연신호리대심장판막치환술출원환자자아호리행위적영향。방법근거입원시간선후차서，장37례심장판막치환술환자설위대조조，주원기간접수상규호리，출원후전화수방화상규복사；42례심장판막치환술환자설위연구조，주원기간접수상규호리，출원후실시신식－관리－관계삼위일체연신호리，간예시간위출원후제2～8주。간예전후채용개량판심장병자아호리행위평개량표（ self nursing behavior assessment of heart disease ， SNBAOHD）대환자진행측평。결과간예후량조환자제자각채취저염음식화준의촉복약외，SNBAOHD기타각조목득분조간비교，차이균유통계학의의（P＜0．05）。결론신식－관리－관계삼위일체연신호리，사환자출원후재가편가접수련관성의료조호，유효제고기원외자아호리능력，진이예방병정반복화천연。
Objective To investigate the effects of extended nursing based on relationship, information and management on the self-care behaviors of patients with heart valve replacement. Methods According to admission time, 37 patients with heart valve replacement were set as the control group, which was given routine nursing intervention and another 42 patients as the study group, which received extended nursing based on the trinity of relationship, information and management 2~8 weeks after discharge. Before and after intervention, patients were evaluated by using the improved version of self-care behavior evaluation scale of heart disease (SNBAOHD). Result There were significant differences between the two groups in other items of SNBAOHD, except two items of low salt diet and medication (P<0.05). Conclusions Extended nursing after discharge based on the trinity of relationship, information and management can help the patients to be continuously cared. In this case, it is effective for the enhancement of off-hospital self-care ability and prevention of disease relapses.