需求层次框架下的护理措施对PCI术后急性心肌梗死患者自我效能和心理弹性的价值分析  

The clinical effects of the nursing measures under the framework of demand hierarchy on the self-efficacy and psychological resilience of patients with acute myocardial infarction after PCI

作　　者：曹春晖 王蓉[1] 刘欣源 范博渊 朱钰 任海霞[1] 高登峰[1] 张娟丽[1] CAO Chunhui;WANG Rong;LIU Xinyuan(Department of Cardiology,The Second Affiliated Hospital of Xi’an Jiaotong University,Shaanxi,Xi’an 710000,China)

机构地区：[1]西安交通大学第二附属医院心内科,西安市710000

出　　处：《河北医药》2022年第12期1908-1910,共3页Hebei Medical Journal

基　　金：国家自然科学基金青年科学基金项目(编号:81800298)。

摘　　要：目的探讨分析需求层次框架下的护理措施对PCI后急性心肌梗死患者自我效能、心理弹性的临床价值。方法选取2020年1~11月确诊并接受PCI治疗的180例急性心肌梗死患者,引导患者抽签分组研究,接受基础护理干预患者90例为对照组,接受需求层次框架下护理干预患者90例为研究组,并对2组最后的护理结局进行分析和对比。结果研究组患者干预后心理弹性评分与于对照组比较,评分明显较优(P<0.05);干预前2组患者心理弹性评分比较,差异无统计学意义(P>0.05);研究组患者干预后自我效能评分结果,与对照组比较明显较优(P<0.05);干预前2组患者自我效能评分结果比较,差异无统计学意义(P>0.05);研究组患者干预后心功能指标改善效果,与对照组比较差异有统计学意义(P<0.05);干预前2组患者心功能指标比较,差异无统计学意义(P>0.05);2组患者干预后心血管不良事件发生率比较,研究组患者明显较低,差异有统计学意义(P<0.05)。结论对接受PCI治疗的急性梗死患者,采取建立在需求层次框架下的护理方案,可以对患者的心理弹性以及自我效能进行改善,同时促进患者干预后心脏功能的恢复,减少心血管不良事件的发生,临床价值明显。Objective To investigate the clinical effects of the nursing measures under the framework of demand hierarchy on the self-efficacy and psychological resilience of patients with acute myocardial infarction(AMI)after PCI.Methods A total of 180 patients with AMI who were treated by PCI in our hospital from January 2020 to November 2020 were enrolled in the study,who were randomly divided into two groups,with 90 cases in each group.The patients in control group were treated by basic nursing intervention,however,those in research group were treated by nursing intervention under the framework of demand hierarchy.The nursing effects were observed and compared between the two groups.Results Before the intervention,there were no significant differences in the psychological resilience scores between the two groups(P>0.05).After nursing intervention,the psychological resilience scores and the improvement effects on cardiac function of patients as well as self-efficacy scores in research group were superior to those in control group(P<0.05).Before the intervention,there were no significant differences in the cardiac indexes between the two groups(P>0.05).After nursing intervention,the incidence rates of adverse cardiovascular events in research group were significantly lower than those in control group(P<0.05).Conclusion For the patients with AMI undergoing PCI,the nursing measures under the framework of demand hierarchy can improve the psychological resilience and self-efficacy of patients,meanwhile,which can promote the recovery of cardiac function and decrease the incidence of adverse cardiovascular events,therefore,which has important clinical significance.

关 键 词：需求层次框架 急性心肌梗死 心理弹性 自我效能 心血管不良事件 

分 类 号：R473.5[医药卫生—护理学]