基于正强化理论的护理干预在急性心肌梗死PCI术后患者中的应用效果  

Effect of positive reinforcement theory-based nursing in patients with acute myocardial infarction undergone PCI

作　　者：裴理辉[1] 贾亚南 贾英岚[1] Pei Lihui;Jia Yanan;Jia Yinglan(Emergency Internal Medicine Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院急诊内科病区,郑州450000

出　　处：《中华现代护理杂志》2022年第30期4237-4241,共5页Chinese Journal of Modern Nursing

基　　金：河南省高等学校重点科研项目(21A320050)。

摘　　要：目的探讨基于正强化理论的护理干预在急性心肌梗死经皮冠状动脉介入治疗(PCI)术后患者中的应用效果。方法采用便利抽样法,选取郑州大学第一附属医院2018年7月—2020年6月收治的107例急性心肌梗死PCI术后患者为研究对象,按照随机数字表法将其分为试验组(n=54)与对照组(n=53)。对照组给予PCI术后常规护理干预,试验组则在对照组基础上给予基于正强化理论的护理干预。随访6个月后,比较干预前后两组患者自我管理能力自评量表得分、PCI术后生活质量测定量表得分及心血管不良事件发生情况。结果干预后,试验组患者自我管理能力自评量表总分及各维度评分、生活质量测定量表各维度评分均高于对照组,差异均有统计学意义(P<0.05);心血管不良事件发生率低于对照组,差异有统计学意义(P<0.05)。结论基于正强化理论的护理干预有助于提高急性心肌梗死PCI术后患者的自我管理能力,减少心血管不良事件的发生率,改善患者的生活质量。Objective To explore the effect of positive reinforcement theory-based nursing in patients with acute myocardial infarction undergone percutaneous coronary intervention(PCI).Methods Convenience sampling was used to select 107 patients with acute myocardial infarction after PCI in the First Affiliated Hospital of Zhengzhou University from July 2018 to June 2020 as the research object.The patients were divided into the experimental group(n=54)and the control group(n=53)by random number table method.The control group was given routine nursing after PCI,while the experimental group was given nursing based on positive reinforcement theory on the basis of the control group.After six months of follow-up,the scores of the Self-management Scale for Patients Undergone Coronary Artery Stent Implantation,the Coronary Revascularization Outcome Questionnaire for Determination of Quality,and the incidence of cardiovascular adverse events were compared between the two groups before and after the intervention.Results After intervention,The total score and the scores of each dimension of the Self-management Scale for Patients Undergone Coronary Artery Stent Implantation and the scores of each dimension of the Coronary Revascularization Outcome Questionnaire for Determination of Quality of the experimental group were higher than those of the control group,and the differences were statistically significant(P<0.05).The incidence of cardiovascular adverse events in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions Positive reinforcement theory-based nursing can help improve the self-management ability of patients with acute myocardial infarction undergone PCI,reduce the incidence of adverse cardiovascular events,and improve the quality of life of patients.

关 键 词：心肌梗死 经皮冠状动脉介入治疗 自我管理能力 生活质量 心血管不良事件 

分 类 号：R473.5[医药卫生—护理学]