心血管内科患者口服药物治疗期间应用医护患协同模式的干预效果  

Intervention Effect of Doctor-nurse-patient Collaborative Model During Oral Drug Treatment in Patients with Cardiovascular Medicine

作　　者：赵秀灵 陈未 张玉洁 ZHAO Xiuling;CHEN Wei;ZHANG Yujie(The First Department of Cardiac Medicine,Henan Provincial Workers’Hospital,Zhengzhou 450003,Henan,China)

机构地区：[1]河南省职工医院心血管内一科,河南郑州450003

出　　处：《中国药物滥用防治杂志》2023年第7期1293-1296,共4页Chinese Journal of Drug Abuse Prevention and Treatment

摘　　要：目的:分析医护患协同模式在心血管内科口服药物治疗患者中的应用效果。方法:选取2022年3月-2022年10月在我院接受口服药物治疗的77例心血管内科患者作为研究对象,依照随机数字表法分为两组,其中对照组(38例)接受常规护理干预,观察组(39例)在对照组基础上接受医护患协同模式干预。比较两组遵医行为、自我管理能力、心理状态、不良事件发生率。结果:观察组饮食调整、正确用药、运动锻炼率高于对照组(P<0.05);观察组成年人健康自我管理能力测评量表(AHSMSRS)评分高于对照组(P<0.05);观察组14项汉密尔顿焦虑量表(HAMA)评分、17项汉密尔顿抑郁量表(HAMD)评分低于对照组(P<0.05);两组医患纠纷率、心血管事件再发生率比较,差异无统计学意义(P>0.05)。结论:医护患协同模式能有效调节心血管内科口服药物治疗患者心理状态,提升遵医行为,提高自我管理能力。Objective:To analyze the application effect of doctor-nurse-patient collaborative model in patients with oral drug therapy in cardiovascular medicine.Methods:A total of 77 patients with cardiovascular medicine who received oral drug therapy in our hospital from March 2022 to October 2022 were selected as the research objects.They were divided into two groups according to the random number table method.The control group(38 cases)received routine nursing intervention,and the observation group(39 cases)received doctor-nurse-patient collaborative model intervention on the basis of the control group.The compliance behavior,self-management ability,psychological state and incidence of adverse events were compared between the two groups.Results:The rate of dietary adjustment,correct medication,and exercise in the observation group were higher than those of the control group(P<0.05).The Adult Health Self Management Ability Assessment Scale(AHSMSRS)score of the observation group was higher than that of the control group(P<0.05);The 14 Hamilton Anxiety Scale(HAMA)scores and 17 Hamilton Depression Scale(HAMD)scores in the observation group were lower than those in the control group(P<0.05).There was no statistically significant difference in the rates of doctor-patient disputes and recurrence of cardiovascular events between the two groups(P>0.05).Conclusion:The doctor-nurse-patient collaborative model can effectively regulate the psychological state of patients undergoing oral medication treatment in cardiovascular medicine,improve compliance behavior,and enhance self-management ability.

关 键 词：医护患协同模式 心血管内科 遵医行为 自我管理能力 

分 类 号：R473.5[医药卫生—护理学]