延续性护理模式在下肢动脉闭塞症出院患者中的应用与生活质量评价

Application of Continuity of Care Model in Patients with Lower Extremity Arterial Occlusion after Discharge and Evaluation of Quality of Life

摘要: 下肢动脉闭塞症患者出院后常面临疾病管理知识缺乏、康复依从性差及生活质量下降等问题，因此，探索有效的延续性护理模式至关重要。本文旨在探讨延续性护理模式在下肢动脉闭塞症出院患者中的应用效果，并评价其对患者生活质量的改善作用。研究选取了60例下肢动脉闭塞症出院患者作为研究对象，随机分为实验组与对照组。对照组接受常规出院指导，实验组则在常规指导基础上，实施为期6个月的延续性护理干预，内容包括制定个性化康复计划、定期电话或视频随访、建立健康档案、提供用药与生活方式指导以及组织线上健康教育讲座等。在干预前及干预后X个月，采用健康状况调查简表(SF-36)对两组患者的生活质量进行评价。结果发现，干预后，实验组患者在生理机能、躯体疼痛、一般健康状况、社会功能等SF-36各维度的评分均高于对照组，差异具有统计学意义(p < 0.05)。本研究结果表明，对下肢动脉闭塞症出院患者实施系统性的延续性护理，能够有效提升其疾病自我管理能力，改善其生活质量，是一种值得在临床推广应用的护理模式。

Abstract: After discharge from the hospital, patients with lower extremity arterial occlusive disease often face problems such as lack of disease management knowledge, poor rehabilitation compliance, and reduced quality of life. Therefore, it is crucial to explore an effective continuous care model. This article aims to explore the application effect of the continuous nursing model in discharged patients with lower extremity arterial occlusive disease and evaluate its effect on improving the patients’ quality of life. The study selected 60 discharged patients with lower extremity arterial occlusive disease as research subjects, and they were randomly divided into experimental groups and control groups. The control group received routine discharge guidance, while the experimental group implemented 6-month continuous nursing intervention on the basis of routine guidance, including formulating a personalized rehabilitation plan, regular telephone or video follow-up, establishing health files, providing medication and lifestyle guidance, and organizing online health education lectures, etc. Before the intervention and X months after the intervention, the health status survey short form (SF-36) was used to evaluate the quality of life of the two groups of patients. The results showed that after the intervention, the scores of patients in the experimental group in various dimensions of SF-36 such as physiological function, body pain, general health status, and social function were significantly higher than those in the control group, and the difference was statistically significant (p < 0.05). The results of this study show that the implementation of systematic and continuous nursing care for discharged patients with lower extremity arterial occlusive disease can effectively improve their disease self-management ability and significantly improve their quality of life. It is a nursing model worthy of clinical promotion and application.