过渡期护理干预对D型人格冠心病患者自我护理能力的影响  

Effect of Transitional Nursing Intervention on Self-care Ability of Coronary Heart Disease with Type D Personality

作　　者：李洁峰[1] 何中华[1] 吴建平[1] 叶伟贤 张小农 LI Jiefeng;HE Zhonghua;WU Jianping;YE Weixian;ZHANG Xiaonong(Gaoming District People’s Hospital of Foshan City,Foshan 528500,China)

机构地区：[1]广东省佛山市高明区人民医院,广东佛山528500

出　　处：《中国医学创新》2021年第35期93-97,共5页Medical Innovation of China

摘　　要：目的:探讨过渡期护理干预对D型人格冠心病患者自我护理能力的影响。方法:选择本院2019年6月-2020年6月收治的D型人格冠心病患者80例,应用随机数字表法将其分为研究组和对照组,各40例。对照组采用常规护理措施,研究组在对照组基础上给予过渡期护理,对比两组护理前后的抑郁自评量表(SDS)与焦虑自评量表(SAS)评分、自护能力评分,对比两组生活质量评分、护理满意度与再入院率。结果:护理前,两组SDS、SAS评分对比,差异均无统计学意义(P>0.05);6个月后随访,与对照组相比,研究组的SDS与SAS评分均明显较低(P<0.05)。护理前,两组环境方面、心理方面、生理方面、社会关系方面评分及总分对比,差异均无统计学意义(P>0.05);6个月后随访,研究组环境方面、心理方面、生理方面、社会关系方面评分及总分评分明显均高于对照组(P<0.05)。护理前,两组自护责任感、自我概念、健康知识水平、遵医嘱服药、规律锻炼、饮食控制方面的自护能力比较,差异均无统计学意义(P>0.05);6个月后随访,研究组以上自护能力指标均明显优于对照组(P<0.05)。研究组护理满意度为90.00%,明显高于对照组的70.00%(P<0.05);研究组再入院率为15.00%,明显低于对照组的37.50%(P<0.05)。结论:对D型人格冠心病患者应用有效的过渡期护理干预,能够改善患者不良情绪,提升患者自护能力,进而提升患者的生活质量,提高患者的护理满意度,降低再入院概率。Objective:To explore the effect of transitional nursing intervention on self-care ability of coronary heart disease with type D personality.Method:A total of 80 patients with type D personality coronary heart disease in our hospital from June 2019 to June 2020 were selected and randomly divided into study group and control group,with 40 cases in each group.The control group was given routine nursing,and the study group was given transitional nursing intervention according to random number table method.The SAS,SDS scores and self-care ability scores before and after nursing were compared between the two groups,and the scores of quality of life,nursing satisfaction and readmission rate were compared between the two groups.Result:Before nursing,there were no significant differences in SDS and SAS scores between the two groups (P>0.05);at 6 months follow-up,compared with the control group,the scores of SDS and SAS in the study group were significantly lower (P<0.05).Before nursing,there were no statistically significant differences between the two groups in terms of environment,psychology,physiology,social relations scores and total score (P>0.05);at 6 months follow-up,the scores of environment,psychology,physiology and social relations and total quality of life scores of patients in the study group were significantly higher than those in the control group (P<0.05).Before nursing,there were no significant differences in self-concept,self-care responsibility,health knowledge level,medication compliance,regular exercise and diet control between the two groups before nursing (P>0.05);at 6 months follow-up,the above self-care ability indexes in the study group were significantly better than those in the control group (P<0.05).The nursing satisfaction of the study group was 90.00%,which was significantly higher than 70.00% of the control group (P<0.05);the readmission rate of the study group was 15.00%,which was lower than 37.50% of the control group (P<0.05).Conclusion:The application of effective transitional nursing in

关 键 词：过渡期 护理干预 D型人格 冠心病 自我护理能力 

分 类 号：R473.5[医药卫生—护理学]