“生命网”健康行为能力干预对冠心病患者生存质量的影响研究

发布时间：2018-06-13 00:50

本文选题：冠心病 + 健康行为　；参考：《中国全科医学》2017年19期

【摘要】：目的探讨"生命网"健康行为能力干预对冠心病患者生存质量的影响,为临床护理干预提供新的方法和思路。方法选取2015年11月—2016年2月在唐山市工人医院心血管内科住院治疗且符合纳入标准的冠心病患者127例,采用随机数字表法分为对照组63例和干预组64例。两组患者入院后均建立"生命网"档案,入院72 h内采用中文版西雅图心绞痛量表(SAQ)测评两组患者的生存质量。对照组住院期间依据测评结果进行常规护理,出院后定期组织患者参加心血管内科举办的"生命网"讲座及门诊随访;干预组在对照组基础上给予"生命网"健康行为能力干预,从健康行为的饮食、运动、压力管理、人际关系及健康责任5个方面进行干预。出院6个月后再次测评两组患者的生存质量。结果干预组随访过程中失访3例,最终完成61例。对照组随访过程中死亡1例、失访4例,最终完成58例。干预前两组患者躯体活动受限程度、心绞痛稳定状态、心绞痛发作情况、治疗满意度、疾病认识程度评分及SAQ总分比较,差异无统计学意义(P0.05)。干预后两组患者躯体活动受限程度评分比较,差异无统计学意义(P0.05);干预后干预组患者心绞痛稳定状态、心绞痛发作情况、治疗满意度、疾病认识程度评分及SAQ总分高于对照组(P0.05)。干预组干预后SAQ各维度评分及SAQ总分高于干预前(P0.05);对照组干预后心绞痛稳定状态、心绞痛发作情况和疾病认识程度评分高于干预前(P0.05);对照组干预后躯体活动受限程度、治疗满意度评分及SAQ总分与干预前比较,差异无统计学意义(P0.05)。结论 "生命网"健康行为能力干预能够改善冠心病患者的生存质量。
[Abstract]:Objective to explore the effect of health behavior intervention on the quality of life of patients with coronary heart disease, and to provide new methods and ideas for clinical nursing intervention. Methods 127 patients with coronary heart disease which were hospitalized in the Department of cardiovascular medicine in Tangshan City workers' hospital from November 2015 to February 2016 were selected and the randomized digital table method was used. 63 cases in the control group and 64 cases in the intervention group. The "life network" files were set up in the two groups, and the Chinese version of Seattle angina scale (SAQ) was used to evaluate the quality of life in the two groups of patients within 72 h. The control group was given regular nursing according to the results of the assessment, and the patients were regularly organized to participate in the "life network" held in the cardiovascular medicine department after discharge. The intervention group intervened in 5 aspects of health behavior, including diet, exercise, stress management, interpersonal relationship and health responsibility on the basis of the control group on the basis of the control group. After 6 months of discharge, the quality of life of the two groups of patients was evaluated again. Results the intervention group lost 3 cases during the follow-up process and finished the final completion. In the 61 cases, there were 1 cases of death in the control group, 4 cases lost and 58 cases completed. Before intervention, the degree of physical activity limitation, angina stable state, angina pectoris, treatment satisfaction, disease awareness and SAQ total score were not statistically significant (P0.05). After intervention, the degree of physical activity limitation in the two groups was evaluated. The difference was not statistically significant (P0.05). After intervention, the patients with angina pectoris stable state, angina pectoris, treatment satisfaction, disease awareness score and SAQ total score were higher than the control group (P0.05). The scores of SAQ dimensions and the total SAQ score of the intervention group were higher than those before the intervention (P0.05); the control group had a stable state of angina pectoris after the intervention group. The score of angina pectoris attack and disease awareness was higher than that before intervention (P0.05). There was no significant difference in the degree of physical activity limitation in the control group, the score of treatment satisfaction and the total score of SAQ before intervention (P0.05). Conclusion the health behavior ability intervention of "life network" could improve the quality of life of patients with coronary heart disease.
【作者单位】：华北理工大学护理与康复学院;
【基金】：河北省科技计划项目(16277787D)
【分类号】：R473.5

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