自我效能干预在经皮冠状动脉介入治疗术后患者中的应用效果  

Application of self-efficacy intervention in patients after percutaneous coronary intervention

作　　者：冼建珍 温少铭 白建雄[2] XIAN Jianzhen;WEN Shaoming;BAI Jianxiong(Department of Interventional Surgery,the Second People′s Hospital of Zhaoqing City,Guangdong Province,Zhaoqing 526060,China;Department of Cardiology,the Second People′s Hospital of Zhaoqing City,Guangdong Province,Zhaoqing 526060,China)

机构地区：[1]广东省肇庆市第二人民医院介入科,广东肇庆526060 [2]广东省肇庆市第二人民医院心血管内科,广东肇庆526060

出　　处：《中国当代医药》2022年第5期185-188,共4页China Modern Medicine

基　　金：广东省肇庆市科技创新指导类项目(201904031334)。

摘　　要：目的探讨自我效能干预在经皮冠状动脉介入治疗(PCI)术后患者中的应用效果。方法选取2020年7月至2021年6月肇庆市第二人民医院收治的82例PCI术后患者作为研究对象,采用随机数字表法将其分为干预组与对照组,每组各41例。对照组患者采用常规PCI术后护理干预,干预组患者在对照组的基础上进行自我效能干预。比较两组患者干预前后的自我效能感、自我管理能力以及干预后心脏康复情况和不良心血管事件总发生率。结果干预前,两组患者的自我效能感量表(GSES)和冠心病自我管理量表(CSMS)评分比较,差异无统计学意义(P>0.05);干预后,两组患者的GSES、CSMS评分均高于干预前,差异有统计学意义(P<0.05);干预后,干预组患者的GSES、CSMS评分高于对照组,差异有统计学意义(P<0.05)。干预后,干预组患者的6分钟步行试验(6MWT)距离长于对照组,左心室射血分数(LVEF)高于对照组,不良心血管事件总发生率低于对照组,差异有统计学意义(P<0.05)。结论自我效能干预可有效提升PCI术后患者的自我效能感和疾病自我管理能力,促进心脏功能康复,降低术后不良心血管事件的总发生率。Objective To explore the effect of self-efficacy intervention in patients after percutaneous coronary intervention(PCI).Methods A total of 82 patients admitted to the Second People′s Hospital of Zhaoqing City after PCI from July 2020 to June 2021 were selected as the study subjects.They were divided into the intervention group and the control group by random number table method,with 41 patients in each group.The control group received routine nursing intervention after PCI,and the intervention group received self-efficacy intervention on the basis of the control group.The self-efficacy,self-management ability,cardiac rehabilitation and the incidence of adverse cardiovascular events were compared between the two groups before and after the intervention.Results Before intervention,there were no statistically significant differences in the scores of self-efficacy scale(GSES)and coronary heart disease self-management scale(CSMS)between the two groups(P>0.05).After intervention,the GSES and CSMS scores of the two groups were higher than those before intervention,the differences were statistically significant(P<0.05).After intervention,the scores of GSES and CSMS in the intervention group were higher than those in the control group,the differences were statistically significant(P<0.05).After intervention,the 6-minute walking test(6MWT)distance of patients in the intervention group was longer than that in the control group,the left ventricular ejection fraction(LVEF)was higher than that in the control group,and the total incidence of adverse cardiovascular events was lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion Self-efficacy intervention can effectively improve self-efficacy and disease self-management ability of patients after PCI,promote cardiac function rehabilitation,and reduce the overall incidence of postoperative adverse cardiovascular events.

关 键 词：自我效能 经皮冠状动脉介入治疗 术后康复 自我管理能力 

分 类 号：R541.4[医药卫生—心血管疾病]