知信行护理在老年冠状动脉粥样硬化性心脏病患者中的应用效果  

Application effect of knowledge-attitude-practice nursing in elderly patients with coronary atherosclerotic heart disease

作　　者：洪小枫 林美英[1] 林琼[1] HONG Xiaofeng;LIN Meiying;LIN Qiong(Department of Cardiology,First Affiliated Hospital of Fujian Medical University,Fuzhou,Fujian,350004,China)

机构地区：[1]福建医科大学附属第一医院心血管内科,福建福州350004

出　　处：《当代医学》2023年第1期168-171,共4页Contemporary Medicine

摘　　要：目的探究知信行护理在老年冠状动脉粥样硬化性心脏病(CHD)患者中的应用效果及对中国心血管患者生活质量评定问卷(CQQC)评分的影响。方法选取2018年7月至2019年6月本院收治的70例CHD老年患者作为研究对象,按照入院时间单双号分为对照组与研究组,每组35例。对照组开展常规护理,研究组在对照组基础上开展知识-信念-行为(KAP)护理,比较两组自我护理能力量表(ESCA)评分、CQQC评分、心理状态评分[Zung焦虑自评量表(SAS)评分、Zung抑郁自评量表(SDS)评分]、护理满意度。结果研究组健康知识、自护技能、自护责任感、自我概念评分均高于对照组,差异有统计学意义(P<0.05)。干预前,两组体力、病情、社会心理、工作状况、医疗评分比较差异无统计学意义。干预后,研究组体力、病情、社会心理、工作状况、医疗评分均高于干预前,且高于对照组,差异有统计学意义(P<0.05);对照组干预前后体力、病情、社会心理、工作状况、医疗评分比较差异无统计学意义。干预前,两组SAS、SDS评分比较差异无统计学意义;干预后,两组SAS、SDS评分均低于干预前,且研究组低于对照组,差异有统计学意义(P<0.05)。研究组护理总满意度(94.29%)高于对照组(77.14%),差异有统计学意义(P<0.05)。结论知信行护理应用于老年CHD患者中的效果显著,可增强患者疾病认知,提高治疗依从性,进而提高患者自我护理水平及能力,有效控制病情,促进疾病转归,提高患者生命质量,值得临床推广应用。Objective To explore the application effect of knowledge-attitude-practice nursing in elderly patients with coronary atherosclerotic heart disease(CHD)and its influence on the score of China cardiovascular patients quality of life questionnaire(CQQC).Methods 70 elderly patients with CHD admitted to our hospital from July 2018 to June 2019 were selected as the research subjects,and they were divided into control group and research group according to the odd and even number of admission time,with 35 cases in each group.The control group received routine nursing,while the research group received knowledge-attitude-practice nursing on the basis of the control group,the scores of exercise of self-care agency(ESCA),CQQC,psychological state(Zung self-rating anxiety scale[SAS],Zung self-rating depression scale[SDS])and nursing satisfaction were compared between the two groups.Results The scores of health knowledge,self-care skills,self-care responsibility and self-concept in the research group were higher than those in the control group,and the differences were statistically significant(P<0.05).Before intervention,there was no significant difference between the two groups in physical strength,illness,social psychology,working condition and medical score;after the inter-vention,the physical strength,illness,social psychology,working condition and medical score in the research group were higher than those in the control group,and the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in SAS and SDS scores between the two groups;after intervention,the scores of SAS and SDS of the two groups were lower than those before the intervention,and those in the research group were lower than those in the control group,and the differences were statistically significant(P<0.05).The total nursing satisfaction of the research group(94.29%)was higher than that of the control group(77.14%),and the difference was statistically significant(P<0.05).Conclusion The effect of knowledge-att

关 键 词：冠心病 知信行护理 生命质量 

分 类 号：R541.4[医药卫生—心血管疾病]