跨理论模型及动机性访谈对PCI术后患者服药依从性的影响

发布时间：2018-03-18 03:13

本文选题：PCI　切入点：跨理论模型　出处：《实用医学杂志》2016年06期 　论文类型：期刊论文

【摘要】：目的:探讨跨理论模型和动机性访谈对经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)术后患者服药依从性的影响。方法 :选取100例PCI术后患者分为观察组(n=50)和对照组(n=50)两组。对照组给予常规护理干预,观察组给予跨理论模型和动机性访谈。比较两组服药依从性、6 min步行距离、主要心脏不良事件(major adverse cardiovascular events,MACE)发生率。结果 :干预后1、3个月及6个月,观察组服药依从性分级均显著提高,与对照组比较差异具有统计学意义(P0.05)。观察组6 min步行距离显著提高,与对照组比较差异具有统计学意义(P0.05)。观察组MACE发生率明显低于对照组(10.0%vs 36.0%),两组比较差异具有统计学意义(P0.05)。结论:跨理论模型和动机性访谈可有效提高PCI术后患者服药依从性,促进术后康复,降低MACE发生率,值得临床推广使用。
[Abstract]:Objective: to investigate the effect of transtheoretical model and motivational interview on drug compliance of patients after percutaneous coronary intervention (percutaneous coronary interventionation). Methods: 100 patients after PCI were divided into two groups: observation group (n = 50) and control group (n = 50). The control group was given routine nursing intervention. The observation group was given cross-theoretical model and motivation interview. The walking distance of 6 min and the incidence of major adverse cardiovascular events were compared between the two groups. Results: 1, 3 and 6 months after intervention. The scores of drug compliance in the observation group were significantly higher than those in the control group (P 0.05), and the walking distance at 6 min in the observation group was significantly higher than that in the control group. The incidence of MACE in the observation group was significantly lower than that in the control group (10.0 vs 36.0), and the difference between the two groups was statistically significant (P 0.05). Conclusion: the cross-theoretical model and motivation interview can effectively improve the compliance of patients after PCI. Promote postoperative rehabilitation, reduce the incidence of MACE, worthy of clinical use.
【作者单位】：广州医科大学第六临床医院清远市人民医院介入科;
【基金】：清远市科技局自筹基金资助(编号:2013B022)
【分类号】：R473.5

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