Objective To explore the effects of family-centered care based on Timing It Right on patient com-pliance,quality of life and readmission rate in patients with acute myocardial infarction. Methods To tally 100 cases were selected and randomly divided into two groups by random number table,with 50 cases in the interven-tion group and 50 cases in the control group. The intervention group received routine care and follow-up and fami-ly-centered care intervention based on Timing It Right;the control group received routine care and follow-up. Pa-tient compliance,quality of life and readmission rate were compared between two groups at discharge,3 months and 6 months after discharge. Results Patient compliance in the intervention group was better than that in the control group (P<0.05) 3 months after discharge except blood glucose,blood pressure,blood lipid and alcohol (P>0.05);6 months after discharge,patient compliance in the intervention group was better except alcohol(P>0.05);physical activity,safety and diet in the intervention group were better than those in the control group when discharged (P<0.001);3 months after discharge,there were no significant differences in physical activity and dependence between two groups(P>0.05);6 months after discharge,all domains in the intervention group were significantly better than those in the control group(P<0.001);when the research was finished,readmission rate in the intervention group was signif-icantly lower than that in the control group (P<0.05). Conclusion The family-centered care intervention based on Timing It Right can effectively improve patient compliance,quality of life and decrease readmission rate for patients with acute myocardial infarction.%目的 探讨以时机理论为框架的家庭护理干预对急性心肌梗死患者依从性、生活质量及再入院率等康复效果的影响.方法 将入选的100例患者,按随机数字表法分成试验组和对照组各50例.试验组在常规护理与随访的基础上给予以时机理论为框架的家庭护理;对照组接受心内科常规护理与随访.分别统计两组出院时、出院后3和6个月时的依从性、生活质量及干预结束时的再入院率指标.结果 ①依从性:在出院后3个月时,两组依从性中仅"三高"控制、戒酒的差异无统计学意义;至出院后6个月时,除戒酒依从性差异无统计学意义外,其余各项试验组均优于对照组(P<0.05).②生活质量:出院时,试验组仅在躯体活动、安全性及饮食等维度得分低于对照组(P<0.05);在出院后3个月时,两组躯体活动和依赖性差异无统计学意义(P>0.05);在出院后6个月时,试验组所有维度的得分均低于对照组(P<0.001).③再入院率:研究结束时,试验组的再入院率低于对照组(P<0.05).结论 基于时机理论的家庭护理能有效提高急性心肌梗死患者的依从性,改善其生活质量,降低再入院率.
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