中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
24期
3019-3023
,共5页
李苹%林平%陶领伟%韩永奎
李蘋%林平%陶領偉%韓永奎
리평%림평%도령위%한영규
护理%经皮冠状动脉介入治疗%自我管理%延续性护理
護理%經皮冠狀動脈介入治療%自我管理%延續性護理
호리%경피관상동맥개입치료%자아관리%연속성호리
Nursing care%Percutaneous coronary intervention%Self-management%Transitional nursing
目的:探讨延续性自我管理干预对经皮冠状动脉介入治疗( PCI )患者自我管理行为的影响。方法将100例PCI患者按照抽签法分为试验组和对照组各50例,对照组给予心内科常规健康教育,试验组给予以延续护理理念及自我管理理论为基础制订的延续性自我管理干预方案。应用自我管理知识问卷及冠心病自我管理行为量表( CSMS)分别于干预前,干预后1个月和干预后6个月对两组患者进行测评,比较两组患者的差异。结果干预前,两组患者的自我管理知识问卷和CSMS各维度得分差异无统计学意义( P>0.05)。干预后1个月,试验组患者的CSMS日常生活管理、疾病医学管理、情绪认知管理评分分别为(48.17±7.20),(46.43±5.66),(47.96±9.69)分,优于对照组的(30.68±8.51),(33.40±4.86),(22.44±8.56)分,差异有统计学意义(t值分别为10.539,10.767,13.221;P<0.01);干预后6个月,试验组患者CSMS日常生活管理、疾病医学管理、情绪认知管理评分分别为(58.83±6.16),(65.30±5.28),(61.55±8.23)分,高于对照组的(30.47±8.37),(28.45±5.07),(24.00±7.25)分,差异有统计学意义(t值分别为18.373,33.822,22.929;P<0.01)。试验组干预后6个月与干预后1个月相比,自我管理知识及冠心病自我管理行为量表各维度得分明显提高,差异均有统计学意义(P<0.05)。对照组患者干预后1个月时日常生活管理知识及行为、疾病医学管理知识及行为得分均有提高,差异均有统计学意义(P<0.05),但6个月时与1个月相比,疾病医学管理行为得分显著降低,差异均有统计学意义(P<0.05)。结论与常规心内科的健康教育相比,延续性自我管理干预能显著改善PCI患者的自我管理知识及行为,可以在临床上广泛推广应用。
目的:探討延續性自我管理榦預對經皮冠狀動脈介入治療( PCI )患者自我管理行為的影響。方法將100例PCI患者按照抽籤法分為試驗組和對照組各50例,對照組給予心內科常規健康教育,試驗組給予以延續護理理唸及自我管理理論為基礎製訂的延續性自我管理榦預方案。應用自我管理知識問捲及冠心病自我管理行為量錶( CSMS)分彆于榦預前,榦預後1箇月和榦預後6箇月對兩組患者進行測評,比較兩組患者的差異。結果榦預前,兩組患者的自我管理知識問捲和CSMS各維度得分差異無統計學意義( P>0.05)。榦預後1箇月,試驗組患者的CSMS日常生活管理、疾病醫學管理、情緒認知管理評分分彆為(48.17±7.20),(46.43±5.66),(47.96±9.69)分,優于對照組的(30.68±8.51),(33.40±4.86),(22.44±8.56)分,差異有統計學意義(t值分彆為10.539,10.767,13.221;P<0.01);榦預後6箇月,試驗組患者CSMS日常生活管理、疾病醫學管理、情緒認知管理評分分彆為(58.83±6.16),(65.30±5.28),(61.55±8.23)分,高于對照組的(30.47±8.37),(28.45±5.07),(24.00±7.25)分,差異有統計學意義(t值分彆為18.373,33.822,22.929;P<0.01)。試驗組榦預後6箇月與榦預後1箇月相比,自我管理知識及冠心病自我管理行為量錶各維度得分明顯提高,差異均有統計學意義(P<0.05)。對照組患者榦預後1箇月時日常生活管理知識及行為、疾病醫學管理知識及行為得分均有提高,差異均有統計學意義(P<0.05),但6箇月時與1箇月相比,疾病醫學管理行為得分顯著降低,差異均有統計學意義(P<0.05)。結論與常規心內科的健康教育相比,延續性自我管理榦預能顯著改善PCI患者的自我管理知識及行為,可以在臨床上廣汎推廣應用。
목적:탐토연속성자아관리간예대경피관상동맥개입치료( PCI )환자자아관리행위적영향。방법장100례PCI환자안조추첨법분위시험조화대조조각50례,대조조급여심내과상규건강교육,시험조급여이연속호리이념급자아관리이론위기출제정적연속성자아관리간예방안。응용자아관리지식문권급관심병자아관리행위량표( CSMS)분별우간예전,간예후1개월화간예후6개월대량조환자진행측평,비교량조환자적차이。결과간예전,량조환자적자아관리지식문권화CSMS각유도득분차이무통계학의의( P>0.05)。간예후1개월,시험조환자적CSMS일상생활관리、질병의학관리、정서인지관리평분분별위(48.17±7.20),(46.43±5.66),(47.96±9.69)분,우우대조조적(30.68±8.51),(33.40±4.86),(22.44±8.56)분,차이유통계학의의(t치분별위10.539,10.767,13.221;P<0.01);간예후6개월,시험조환자CSMS일상생활관리、질병의학관리、정서인지관리평분분별위(58.83±6.16),(65.30±5.28),(61.55±8.23)분,고우대조조적(30.47±8.37),(28.45±5.07),(24.00±7.25)분,차이유통계학의의(t치분별위18.373,33.822,22.929;P<0.01)。시험조간예후6개월여간예후1개월상비,자아관리지식급관심병자아관리행위량표각유도득분명현제고,차이균유통계학의의(P<0.05)。대조조환자간예후1개월시일상생활관리지식급행위、질병의학관리지식급행위득분균유제고,차이균유통계학의의(P<0.05),단6개월시여1개월상비,질병의학관리행위득분현저강저,차이균유통계학의의(P<0.05)。결론여상규심내과적건강교육상비,연속성자아관리간예능현저개선PCI환자적자아관리지식급행위,가이재림상상엄범추엄응용。
Objective To evaluate the effects of transitional self-management intervention on patients after percutaneous coronary intervention ( PCI ) .Methods One hundred PCI patients were assigned into the control group (50 cases) and the intervention group (50 cases) according to draw method.The control group was treated with the cardiology conventional health education .The intervention group was treated with the self-management model and the transitional nursing model .The coronary artery self-management scale ( CSMS) was used to compare between the groups at one month and six month after PCI .Results There was no significant difference in the score of CSMS before the investigation (P>0.05).After one month of intervention, the score of daily management , disease management and emotional cognition of the intervention group were ( 48 .17 ± 7.20), (46.43 ±5.66) and (47.96 ±9.69), respectively, which were significantly higher than (30.68 ± 8.51), (33.40 ±4.86) and (22.44 ±8.56) in the control group, the difference was statistically significant (t=10.539, 10.767, 13.221, respectively;P <0.01).After six month of intervention, the score of daily management, disease management and emotional cognition of the intervention group were (58.83 ±6.16), (65.30 ±5.28) and (61.55 ±8.23), respectively, which were significantly higher than (30.68 ±8.51), (28.45 ±5.07) and (24.00 ±7.25) in the control group, the difference was statistically significant (t =18.373, 33.822, 22.929, respectively;P <0.01).After one month of intervention, the self-management knowledge and behavior of the intervention group were significantly better than the control group , the difference was statistically significant (P <0.05).At one month, the daily management, disease management and behavior of the control group was significantly improved , the difference was statistically significant (P<0.05).However , the score of disease management at six month after the intervention was significantly decreased compared with that at month, the difference was statistically significant (P<0.05).Conclusions Comparing with the conventional health education , the transitional self-management intervention is effective , and it is worthy of getting widely extension in hospital .