运用延续性护理干预提高冠心病介入术后患者自我管理水平的研究

发布时间：2018-07-05 16:04

本文选题：延续性护理 + 冠心病　；参考：《安徽医科大学》2015年硕士论文

【摘要】：【目的】运用延续性护理干预提高冠心病介入术后患者的疾病认知和自我管理水平,改善患者预后,探索慢性心血管疾病的管理经验。【方法】选取安徽省某三甲医院心血管内科2014年6月至2015年2月行冠状动脉介入治疗的冠心病患者77例,采用随机数字法分为对照组38例和试验组39例。对照组给予常规护理教育方法,试验组在常规护理教育方法的基础上采用延续性护理干预(包括住院期间个体化健康教育+出院后定期护理随访),观察比较两组患者的疾病认知情况和自我管理水平。【结果】两组患者的社会学和流行病学资料及两组患者入院时疾病认知和自我管理能力评分,差异无统计学意义(P0.05);试验组和对照组患者入院时的疾病认知分别为7.6±6.1,7.6±4.7,得分均较低;对照组和试验组患者入院时的自我管理行为量表总分分别为64.6±18.3分和64.2±15.4分,得分均较低;出院时、出院3个月以及出院6个月试验组患者疾病认知得分均高于对照组,差异有统计学意义(P0.05)。延续性护理干预能提高冠心病患者的疾病认知水平;出院3个月、6个月试验组自我管理行为得分均高于对照组,差异有统计学意义(P0.05);从两组患者自我管理行为得分时间趋势图上,试验组在出院时、出院3个月以及出院6个月的自我管理行为得分逐渐上升,上升趋势与对照组相比较明显。延续性护理干预能提高冠心病患者的自我管理水平。【结论】冠心病介入术后患者疾病认知和自我管理水平低下,需引起医护人员重视;延续性护理干预能提高患者疾病认识和自我管理水平。
[Abstract]:[objective] to improve the disease cognition and self-management of patients after coronary intervention by continuous nursing intervention, and to improve the prognosis of patients. To explore the management experience of chronic cardiovascular disease. [methods] Seventy-seven patients with coronary artery disease treated with coronary intervention from June 2014 to February 2015 were selected from the Department of Cardiovascular Medicine of a third Class A Hospital in Anhui Province. The patients were randomly divided into control group (n = 38) and experimental group (n = 39). The control group was given routine nursing education. On the basis of routine nursing education methods, the trial group adopted continuous nursing intervention (including regular nursing follow-up after individual health education during hospitalization), and observed and compared the disease cognition and self-management between the two groups. Level. [results] the sociological and epidemiological data of the two groups and the scores of disease cognition and self-management at admission, There was no significant difference between the two groups (P0.05), the disease cognition of the patients in the test group and the control group were 7.6 卤6.1 卤7.6 卤4.7, respectively, and the total scores of self-management behavior scale were 64.6 卤18.3 and 64.2 卤15.4, respectively, in the control group and the experimental group. The scores of disease cognition in the trial group were higher than those in the control group at the time of discharge, 3 months after discharge and 6 months after discharge, and the difference was statistically significant (P0.05). Continuous nursing intervention could improve the disease cognition of patients with coronary heart disease, and the scores of self-management behavior in the trial group were higher than those in the control group at 3 months and 6 months after discharge. The difference was statistically significant (P0.05). According to the time trend of self-management behavior score of the two groups, the scores of self-management behavior in the experimental group increased gradually at discharge time, 3 months after discharge and 6 months after discharge, and the rising trend was more obvious than that in the control group. Continuous nursing intervention can improve the level of self-management of patients with coronary heart disease. [conclusion] patients' disease cognition and self-management level are low after coronary intervention, which should be paid more attention to by medical staff. Continuous nursing intervention can improve patients' disease awareness and self-management.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R473.5

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