家庭赋权方案联合心脏康复指导对心肌梗死PCI术后患者的影响  

Effect of family empowerment scheme combined with cardiac rehabilitation guidance on patients with myocardial infarction after percutaneous coronary intervention

作　　者：白兴合[1] 刘平[1] 代玉川[2] 李西珍 胡雪芹 Bai Xinghe;Liu Ping;Dai Yuchuan;Li Xizhen;Hu Xueqin(Department of Medical Imaging,Affiliated Hospital of Jining Medical University,Jining 272029,China;Department of Cardiology,Affiliated Hospital of Jining Medical University,Jining 272029,China)

机构地区：[1]济宁医学院附属医院医学影像科,济宁272029 [2]济宁医学院附属医院心内科,济宁272029

出　　处：《中华现代护理杂志》2022年第20期2730-2735,共6页Chinese Journal of Modern Nursing

基　　金：山东省医药卫生科技发展计划项目(2016WS0185)。

摘　　要：目的探讨家庭赋权方案联合心脏康复指导对心肌梗死PCI术后患者的影响。方法采用便利抽样法,选取2018年7月—2020年1月在济宁医学院附属医院接受PCI治疗的100例心肌梗死患者为研究对象,根据随机数字表法分为对照组和观察组,各50例。对照组实施心脏康复指导,观察组实施家庭赋权方案及心脏康复指导。比较两组干预前、干预3个月后的中文版家属照顾能力测量表(FCTI)评分、世界卫生组织生活质量测定量表(WHOQOL-BREF)评分。结果干预3个月后,两组患者家属的FCTI各项维度评分均低于同组干预前,且观察组患者家属的评分均低于对照组,差异均有统计学意义(P<0.05);观察组患者WHOQOL-BREF各维度评分均高于同组干预前,且观察组评分均高于对照组,差异均有统计学意义(P<0.05)。结论家庭赋权方案联合心脏康复指导有利于提高心肌梗死PCI术后患者家属的照顾能力,提高患者生活质量。Objective To explore the effect of family empowerment scheme combined with cardiac rehabilitation guidance on patients with myocardial infarction after percutaneous coronary intervention(PCI).Methods Using the convenient sampling method,a total of 100 patients with myocardial infarction who underwent PCI in Affiliated Hospital of Jining Medical University from July 2018 to January 2020 were selected as the research objects.According to the random number table method,they were divided into the control group and the observation group,with 50 cases in each group.The control group was given cardiac rehabilitation guidance,while the observation group was given the family empowerment scheme combined with cardiac rehabilitation guidance.The scores of Chinese version of Family Caregiver Task Inventory(FCTI)and The World Health Organization Quality of Life(WHOQOL)-BREF(WHOQOL-BREF)were compared between the two groups before the intervention and after 3 months of the intervention.Results After 3 months of intervention,scores of each dimension of the FCTI scale of family members of patients in two groups were lower than those before the intervention and the scores of family members of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The scores of each dimension of the WHOQOL-BREF in the observation group were higher than those before intervention and the score in the observation group were higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusions The family empowerment scheme combined with cardiac rehabilitation guidance is beneficial to improve the caring ability of family members of patients with myocardial infarction after PCI and improve quality of life of patients.

关 键 词：心肌梗死 经皮冠状动脉介入术 心脏康复 家庭赋权 

分 类 号：R473.5[医药卫生—护理学]