出院计划模式对冠状动脉内支架植入患者自我管理行为的影响  

Effects of discharge planning model on self-management behaviors of patients with coronary stent implantation

作　　者：娄兰兰 甘秀妮[1] 

机构地区：[1]重庆医科大学附属第二医院护理部,400010

出　　处：《中国实用护理杂志》2015年第16期1187-1190,共4页Chinese Journal of Practical Nursing

基　　金：中华护理学会科研课题（ZHKY201419）

摘　　要：目的探讨出院计划干预模式对冠状动脉内支架植入术（CASI）患者自我管理行为的影响。方法采用随机对照研究方法，将106例CASI患者按照随机数字表法随机分为干预组和对照组各53例，其中干预组实施出院计划干预，对照组接受心内科常规护理和随访，研究过程中因失访脱落5例，其中干预组2例，对照组3例，分别于干预前、干预后1个月及6个月时对2组患者的自我管理行为水平进行测评。结果干预后1个月，干预组自我管理行为总得分为（94．59±8．43）分，高于对照组的（83．41±7．91）分，差异有统计学意义，P〈0．01；干预后6个月，干预组自我管理行为总得分（91．68±9．01）分，高于对照组的（78．32±8．52）分，差异有统计学意义，P〈0．01。结论出院计划干预模式可有效提高冠状动脉支架植入患者的自我管理行为水平，改善患者生命质量，保证了延续性护理服务的实施效果。Objective To investigate the effects of discharge planning model on self-management behaviors of patients with coronary stent implantation （CASI）. Methods Using random control study,106 patients with CASI were divided into intervention group and control group by random digits table method with 53 cases each. The intervention group was received discharge planning services. The control group was received routine nursing and follow-up of department of cardiology. In the process of study due to lost to fall off in 5 cases, including 2 cases of intervention group and 3 cases of control group. The level of self- management behaviors of patients was evaluated before intervention, after 1 month and 6 months of intervention. Results The total scores of self-management behaviors of patients after 1 month of intervention was （94.59±8.43） scores in intervention group,which was higher than that in control group （83.41 ±7.91） scores,and there was significant difference, P〈0.01. The total scores of self-management behaviors of patients after 6 months of intervention was （91.68±9.01） scores in intervention group,which was higher than that in control group （78.32±8.52） scores,and there was significant difference, P〈0.01. Conclusion Discharge planning model can effectively improve the level of self-management behaviors of patients with CASI, improve the quality of life,ensure the implementation effect of continuing nursing care service.

关 键 词：病人出院 冠状动脉疾病 支架植入 自我管理行为 

分 类 号：R473.5[医药卫生—护理学]