护理程序逻辑行动方案应用对心肌梗死患者认知与行动水平的影响  

The Effect of Logical Action Plan of Nursing Procedure on Cognition and Action Level of Patients with Myocardial Infarction

作　　者：闫振 周昆明 李沛沛 YAN Zhen;ZHOU Kun-ming;LI Pei-pei(The Second Department of Cardiovascular Medicine,Zhumadian Central Hospital,Zhumadian,Henan,463000,China)

机构地区：[1]驻马店市中心医院心血管内二科,河南驻马店463000

出　　处：《黑龙江医学》2022年第14期1755-1758,共4页Heilongjiang Medical Journal

摘　　要：目的:分析护理程序逻辑行动方案应用对心肌梗死患者认知与行动水平的影响。方法:选择2018年2月—2019年9月驻马店市中心医院收治的80例心肌梗塞患者作为研究对象,以随机数表法将其分为研究组和对照组,每组各40例。通过自制心肌梗死患者知信行问卷对患者在干预前及干预后第2周末的基本情况展开评价,该问卷共涵盖认知、信念、行为等子问卷。结果:研究组干预后理论知识得分较对照组高,差异有统计学意义(t=14.267、13.270、9.562、11.094、7.565、10.263、14.678、12.602、8.787、11.280,P<0.05)。研究组干预后的信念及态度评分较对照组高,差异有统计学意义(t=14.289、9.561、12.163、15.170、10.075、13.267、15.468、10.903、6.785,P<0.05)。研究组干预后日常行为践行情况优于对照组,差异有统计学意义(χ^(2)=13.257、9.789,P<0.05;t=11.024,P<0.05;χ^(2)=15.468、20.135,P<0.05)。结论:将护理程序逻辑行动方案应用于心肌梗死患者,能提高其对疾病的认知水平,进而影响其内在信念与动机,最终改善其日常行为方式。Objective:To analyze the effect of logical behavior plan of nursing procedure on the cognition and action level of patients with myocardial infarction.Methods:A total of 80 patients with myocardial infarction admitted to the hospital from February 2018 to September 2019 were selected.Based on the random number table method,the subjects who met the inclusion criteria were divided into study group and control group,with 40 cases in each group.The basic conditions of the patients before the intervention and at the second weekend after the intervention were evaluated by the self-made questionnaire for patients with myocardial infarction.The questionnaire covered cognition,belief,behavior and other sub-questions.Results:The theoretical knowledge score of the study group after intervention was higher than that of the control group,and the difference was statistically significant(t=14.267,13.270,9.562,11.094,7.565,10.263,14.678,12.602,8.787,11.280,P<0.05).The scores of belief and attitude in the study group after intervention were higher than those in the control group,and the difference was statistically significant(t=14.289,9.561,12.163,15.170,10.075,13.267,15.468,10.903,6.785,P<0.05).After the intervention,the daily behavior practice of the study group was better than that of the control group,and the difference was statistically significant(χ^(2)=13.257,9.789,P<0.05,t=11.024,P<0.05,χ^(2)=15.468,20.135,P<0.05).Conclusion:The application of the logical action plan of nursing procedures to patients with myocardial infarction can improve the individual’s cognitive level of the disease,thereby affecting the individual’s inner belief and motivation,and ultimately improving the individual’s daily behavior.

关 键 词：护理程序 逻辑行动 心肌梗死 认知水平 行动水平 

分 类 号：R47[医药卫生—护理学]