自我管理信息支持在冠心病介入治疗术后患者护理中的应用  

Application of self-management information support for nursing of the patients after undergoing coronary interventional therapy

作　　者：张贇 司小明[1] 刘艳存 孙子瑞 ZHANG Yun;SI Xiaoming;LIU Yancun;SUN Zirui(Huazhong Fuwai Hospital,Zhengzhou,451450,China)

机构地区：[1]华中阜外医院(河南省人民医院心脏中心,郑州大学华中阜外医院)结构性心脏病病区,河南省郑州市451450

出　　处：《护理实践与研究》2021年第20期3012-3015,共4页Nursing Practice and Research

基　　金：河南省医学科技攻关计划项目(编号:LHGJ20200105)。

摘　　要：目的探究自我管理信息支持在冠心病介入治疗术后患者中的应用价值分析。方法选取2019年1月—2020年9月进行经皮冠状动脉介入治疗的89例冠心病患者为研究对象,按组间基本特征具有可比性的原则分为对照组(n=45)与观察组(n=44)。对照组实施常规护理,观察组在对照组基础上实施自我管理信息支持干预。采用出院准备度量表(RHDS)、中文版冠心病自我效能问卷以及冠心病自我管理量表(CSMS)评价两组患者出院准备度、自我效能以及自我管理能力。结果干预前,两组出院准备度评分、自我效能以及自我管理能力评分比较差异无统计学意义(P>0.05);干预后,两组出院准备度评分、自我效能以及自我管理能力评分均有所提升,但观察组明显优于对照组,组间比较差异有统计学意义(P<0.05)。结论自我管理信息支持可提高冠心病介入治疗术后患者自我管理能力以及自我效能,有助于患者为出院做好准备,改善预后。Objective To explore the application value of self-management information support in patients after coronary interventional therapy.Methods We selected 89 patients with coronary heart disease who underwent percutaneous coronary intervention from January 2019 to September 2020 as the study objects.According to the principle of comparability between the basic characteristics of the groups,they were divided into a control group(n=45)and an observation group(n=44).The control group implemented routine nursing care,and the observation group implemented self-management information support intervention on the basis of the control group.The readiness hospital discharge scale(RHDS),the Chinese version of the coronary heart disease selfefficacy questionnaire and coronary artery disease self-management scale(CSMS)were used to evaluate the discharge readiness,self-efficacy and self-management ability of the two groups.Results Before the intervention,there was no significant difference in scores of discharge readiness,self-efficacy and self-management ability between the two groups(P>0.05).After the intervention,the scores of discharge readiness,self-efficacy and selfmanagement ability of the two groups were improved,but the observation group was significantly better than the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The self-management information support can improve the self-management ability and self-effficacy of patients after coronary interventional therapy,help patients prepare for discharge,and improve the prognosis.

关 键 词：自我管理信息支持 冠心病 介入治疗 出院准备度 自我效能 自我管理能力 

分 类 号：R473.5[医药卫生—护理学]