预警性护理联合动机性访谈在冠心病PCI术后患者中的应用  

Application of early warning nursing combined with motivational interview in patients with coronary heart disease after PCI

作　　者：蔡媛媛[1] 夏珊珊[1] 夏春桔 张莉[1] CAI Yuanyuan;XIA Shanshan;XIA Chunju;ZHANG Li(Department of Cardiovascular Medicine,Taizhou Central Hospital,Taizhou 318020,Zhejiang,China)

机构地区：[1]台州市第一人民医院心血管内科,浙江台州318020

出　　处：《中国现代医生》2023年第5期84-88,共5页China Modern Doctor

基　　金：浙江省医药卫生计划项目(2022KY1385)。

摘　　要：目的探讨预警性护理联合动机性访谈在冠心病经皮冠状动脉介入术(percutaneous coronary intervention,PCI)后患者中的应用效果。方法选取2020年10月至2021年10月台州市第一人民医院收治的接受PCI治疗的冠心病患者180例为研究对象,采用随机数字表法分为对照组(n=90)与研究组(n=90)。两组分别采用常规护理与预警性护理联合动机性访谈模式干预,比较两组患者的西雅图心绞痛量表(Seattle angina questionnaire,SAQ)评分、冠心病自我管理量表(coronary artery disease self-management scale,CSMS)评分、心肺运动试验(cardiopulmonary exercise testing,CPET)、冠心病PCI术后患者赋权护理评价量表和心血管不良事件发生情况。结果干预后,两组各维度SAQ评分、CSMS评分和总得分、CPET、患者赋权护理评价量表比较,研究组均高于对照组,差异有统计学意义(P<0.05)。干预后,心血管不良事件发生率组间比较,研究组低于对照组,差异有统计学意义(P<0.05)。结论预警性护理联合动机性访谈,在提高PCI术后患者生活质量、自我管理行为、心肺运动方面均具有显著效果,且还能有效降低血管不良事件发生率,改善护患关系。Objective To explore the effect of early warning nursing combined with motivational interview in patients with coronary heart disease after percutaneous coronary intervention(PCI).Methods A total of 180 patients with coronary heart disease who received PCI in Taizhou Central Hospital from October 2020 to October 2021 were selected and divided into the study group(n=90)and the control group(n=90)according to random number table method.The control group was given routine nursing and the study group was intervened early warning nursing combined with motivational interview.The scores of Seattle angina questionnaire(SAQ),coronary artery disease self-management scale(CSMS),cardiopulmonary exercise testing(CPET),the empowerment of care evaluation scale for patients after PCI for coronary heart disease and cardiovascular adverse events were compared between two groups.Results After the intervention,the scores of each dimension of SAQ,the score of each dimension of CSMS and the total score,CPET,patient empowerment nursing evaluation scale in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).After the intervention,the incidence of adverse cardiovascular events in the study group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Early warning nursing combined with motivational interviewing has significant effects in improving the quality of life,self-management behavior and cardiopulmonary exercise of patients with coronary heart disease after PCI,and can also effectively reduce the incidence of vascular adverse events and improve the nurse-patient relationship.

关 键 词：冠心病 预警性护理 经皮冠状动脉介入术 动机性访谈 生活质量 

分 类 号：R47[医药卫生—护理学]