患者自我管理在DSA介入治疗的应用效果分析  

Effect Analysis of Application of Patient Self-Management in DSA Interventional Therapy

作　　者：马静[1] 孔振芳[1] 龚芳儿 

机构地区：[1]宁波市第二医院 [2]宁波市鄞州第二医院

出　　处：《医院管理论坛》2017年第1期38-41,共4页Hospital Management Forum

摘　　要：目的探究自我管理方案在DSA介入冠心病患者围手术期的应用效果。方法选取2014年1月至2016年6月于我院采用DSA介入治疗的冠心病患者108例。其中2014年1月至2015年3月的54例患者作为对照组,2015年4月至2016年6月的54例患者作为实验组。对照组患者仅接受常规护理和常规宣教,实验组患者接受自我管理干预模式,包括病情介绍、手术原理介绍、目标健康书的制定以及医护人员的及时监督等;通过干预前后两组的表现以及评分结果,比较两组管理后的行为差异,评价自我管理效能。结果干预前两组患者的一般资料、自我效能感量表评分差异无统计学意义(P>0.05)。干预后,实验组的自我效能感量表评分(35.62±5.34)显著高于对照组(24.89±7.92),差异具有统计学意义(t=12.021,P<0.01)。结论自我管理方案可提高患者的自我管理效能,规范患者的行为,减少患者紧张焦躁的情绪,降低患者在围手术期的应激反应程度,有利于手术的进行和术后患者的恢复。Objective To explore the application effect of self-management in Digital Subtraction Angiography （DSA） interventional therapy among patients with coronary heart disease during perioperative period. Methods A total of 108 patients with coronary heart disease who received DSA interventional therapy in our hospital from January 2014 to June 2016 were included in this study, among which 54 patients who received treatment in our hospital from January 2014 to March 2015 constituted control group, while 54 patients who received treatment in our hospital from April 2015 to June 2016 constituted experimental group. Patients in control group only received routine care and routine instruction, while patients in experimental group received self-management intervention including introduction of the disease and surgical principles, development of targeted health books and timely supervision performed by medical personnel. Score results and performance of patients in two groups before and after the intervention were compared to find out behavioral differences of self-management so as to evaluate the self-management efficacy. Results There was no significant difference of general characteristics and self-efficacy scale between the two groups before the intervention （P〉0.05）. After the intervention, score of self-efficacy scale in experimental group （35.62 ± 5.34） was significantly higher than that （24.89 ± 7.92） in the control group, and the differences were statistically significant （t=12.021, P〈0.01）. Conclusion Self-management program can improve self-management efficacy, standardize behavior, and reduce tension and anxiety as well as the degree of stress reaction among patients during perioperative period, which is conducive to surgery and postoperative recovery.

关 键 词：冠心病 自我管理 围手术期 

分 类 号：R541.4[医药卫生—心血管疾病]