基于跨理论模型的护理干预对急性心肌梗死患者生活方式改善的效果  

Effect of Nursing Intervention Based on Cross Theoretical Model on Improving Lifestyle of Patients with Acute Myocardial Infarction

作　　者：崔英姿 胡亚娟 钟志元 刘小布 CUI Ying-zi;HU Ya-juan;ZHONG Zhi-yuan;LIU Xiao-bu(Department of Hematology Oncology,Shenzhen Longhua District People's Hospital,Shenzhen Guangdong,518109,China;Endocrinology department,Shenzhen Longhua District People's Hospital.Shenzhen,Guangdong,518109,China;Emergency department,Shenzhen Longhua District People's Hospital,Shenzhen Guangdong,518109,China;Department of cardiovascular medicine,Shenzhen Longhua District People's Hospital,Shenzhen Guangdong,518109,China)

机构地区：[1]深圳市龙华区人民医院血液肿瘤科,广东深圳518109 [2]深圳市龙华区人民医院内分泌科,广东深圳518109 [3]深圳市龙华区人民医院急诊科,广东深圳518109 [4]深圳市龙华区人民医院心血管内科,广东深圳518109

出　　处：《中华养生保健》2022年第22期66-69,共4页CHINESE HEALTH CARE

基　　金：深圳市龙华区科技创新局,项目名称:基于跨理论模型的护理干预对急性心肌梗死患者生活方式改善的效果(2020058)。

摘　　要：目的探讨基于跨理论模型的护理干预对急性心肌梗死患者生活方式改善的效果。方法将2021年4月~2021年9月深圳市龙华区人民医院收治的100例急性心肌梗死患者按随机数表法分为对照组(50例)和研究组(50例),两组均予以常规治疗,对照组在常规治疗基础上予以常规护理干预,研究组则予以基于跨理论模型的护理干预,比较两组疾病管理能力评分、健康促进生活方式量表(Health Promotion Lifestyle Profile,HPLP)评分、不良心脏事件发生率、再入院率。结果护理后,研究组急救管理、自护知识、临床症状等各项疾病管理能力评分均高于对照组,差异有统计学意义(P<0.05);护理后,研究组营养管理、康复锻炼、健康责任感、人际关系、自我实现和压力管理等各项HPLP评分均高于对照组,差异有统计学意义(P<0.05);研究组不良心脏事件发生率、再入院率均低于对照组,差异有统计学意义(P<0.05)。结论基于跨理论模型的护理干预有助于改善急性心肌梗死患者自我效能及生活方式,提升其自身疾病管理能力,从而减少不良心脏事件,降低再入院率,值得临床应用。Objective To explore the eff ect of nursing intervention based on cross theoretical model on improving the lifestyle of patients with acute myocardial infarction.Methods 100 patients with acute myocardial infarction treated in our hospital from April 2021 to September 2021 were randomly divided into control group(n=50)and test group(n=50)according to the numerical table method.Both groups were given routine treatment.The control group was given routine nursing intervention based on routine treatment,and the test group was given nursing intervention based on cross theoretical model.The scores of disease management ability,Health Promoting Lifestyle Scale(Health Promotion Lifestyle Profi le,HPLP)and incidence of adverse cardiac events and readmission rate.Results The scores of emergency management,self-care knowledge and clinical symptoms in the test group were signifi cantly higher than those in the control group(P<0.05);the scores of nutrition management,rehabilitation exercise,health responsibility,interpersonal relationship,self realization and stress management in the test group were significantly higher than those in the control group(P<0.05);the incidence of adverse cardiac events and readmission rate in the test group were signifi cantly lower than those in the control group(P<0.05).Conclusion Nursing intervention based on cross theoretical model can help to improve the self-efficacy and lifestyle of patients with acute myocardial infarction,improve their disease management ability,so as to reduce adverse cardiac events and reduce the readmission rate,which is worthy of clinical application.

关 键 词：跨理论模型 急性心肌梗死 生活方式 疾病管理 不良心脏事件 

分 类 号：R473.5[医药卫生—护理学]