基于IPA的冠心病患者居家护理方案的构建与实践  

Construction and practice of home care scheme based importance performance analysis for patients with coronary heart disease

作　　者：杨波[1] 何彩娣[1] 叶林娟 Yang Bo;He Caidi;Ye Linjuan(Nursing Department,Taizhou Municipal Hospital,Zhejiang Province,Taizhou 318000,China;Department of Cardiology,Taizhou Municipal Hospital,Zhejiang Province,Taizhou 318000,China)

机构地区：[1]浙江省台州市立医院护理部,318000 [2]浙江省台州市立医院心内科,318000

出　　处：《中华现代护理杂志》2021年第3期394-398,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨基于重要性-表现程度分析法(IPA)的冠心病患者居家护理方案的应用效果。方法采用目的抽样法,选择2018年10月—2019年9月在台州市立医院心内科住院的128例冠心病患者为研究对象。将2018年10月—2019年3月纳入的64例患者分为对照组,2019年4—9月纳入的64例患者分为干预组。对照组采用常规护理,干预组实施基于IPA的冠心病患者居家护理方案。比较干预前后两组患者冠心病知识、自我效能、遵医性和生活质量的差异。结果干预后,干预组患者冠心病知识得分高于对照组,差异具有统计学意义(P<0.05)。干预后,干预组患者自我效能总分及各维度得分均高于对照组,差异有统计学意义(P<0.05)。干预后,干预组患者遵医性优于对照组,差异有统计学意义(P<0.05)。干预后,干预组患者SF-36健康调查量表各维度得分均高于对照组,差异有统计学意义(P<0.05)。结论基于IPA的冠心病患者居家护理方案可提高冠心病患者疾病知识和自我效能,改善患者遵医性和生活质量。Objective To explore the application effect of home care scheme based importance performance analysis(IPA)for patients with coronary heart disease.Methods Using the purposive sampling method,a total of 128 patients with coronary heart disease who were hospitalized in Department of Cardiology in Taizhou Municipal Hospital from October 2018 to September 2019 were selected as the research objects.A total of 64 patients who were admitted from October 2018 to March 2019 were set as the control group,and 64 patients who were admitted from April to September 2019 were set as the intervention group.The control group adopted routine nursing,while the intervention group implemented home nursing scheme based IPA for patients with coronary heart disease.The differences in knowledge of coronary heart disease,self-efficacy,compliance and quality of life were compared between the two groups before and after the intervention.Results After the intervention,the knowledge score of coronary heart disease of the intervention group was higher than that of the control group,and the difference was statistically significant(P<0.05).After the intervention,the total score of self-efficacy and scores of all dimensions of the intervention group were higher than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,the compliance of the intervention group was better than that of the control group,and the difference was statistically significant(P<0.05).After the intervention,scores of all dimensions of SF-36 Health Survey Scale in the intervention group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions IPA based home care scheme for patients with coronary heart disease can improve the disease knowledge and self-efficacy of patients with coronary heart disease and improve compliance and quality of life.

关 键 词：冠心病 重要性-表现程度分析法 居家护理 生活质量 

分 类 号：R473.2[医药卫生—护理学]