病人专家项目干预对肺动脉高压患者自我效能与生活质量的影响  

Effect of expert patient program based intervention on self-efficacy and quality of life of patients with pulmonary hypertension

作　　者：李晗悦 刘春丽[2] 徐燕妮[2] 陈文利[2] 冯佩玉 李欣[1] 高国贞[1] 林燕琴[2] Li Hanyue;Liu Chunli;Xu Yanni;Chen Wenli;Feng Peiyu;Li Xin;Gao Guozhen;Lin Yanqin(Department of Nursing,The First Affiliated Hospital of Guangzhou Medical University,Guangzhou 510140,China)

机构地区：[1]广州医科大学附属第一医院护理部,广东广州510140 [2]广州医科大学附属第一医院呼吸内科,广东广州510140

出　　处：《护理学杂志》2023年第15期82-86,共5页Journal of Nursing Science

基　　金：广东省医学科学技术研究基金项目(A2023346)。

摘　　要：目的探讨病人专家项目干预对肺动脉高压患者自我效能与生活质量的影响。方法选择60例肺动脉高压住院患者为研究对象,随机分为观察组和对照组各30例。对照组给予常规护理,观察组在常规护理基础上实施病人专家项目干预。干预前后分别测量患者的一般自我效能和生活质量。结果观察组和对照组分别有29、27例完成研究。干预后,观察组一般自我效能感得分显著高于干预前和对照组,心力衰竭生活质量得分(除身体领域外)显著低于干预前和对照组(均P<0.05)。结论实施病人专家项目可改善肺动脉高压患者的自我效能,促进其生活质量提升。Objective To explore the effect of expert patient program based intervention on self-efficacy and quality of life(QOL)of patients with pulmonary hypertension.Methods Sixty hospitalized patients with pulmonary hypertension were selected and randomly divided into 2 groups of 30 cases each.The control group received routine care,while the intervention group received expert patient program based intervention on the basis of routine care.Before and after the intervention,general self-efficacy and QOL of patients were measured and compared between the two groups.Results There were respectively 29 cases in the intervention group and 27 in the control group completing the study.After the intervention,self-efficacy scores in the intervention group were significantly higher than those before the intervention,and higher than those in the control group;QOL total scores and domain scores(except for the physical domain)of the Minnesota Living with Heart Failure Questionnaire were significantly lower than those before the intervention,and higher than those in the control group(all P<0.05).Conclusion Expert patient program based intervention can improve self-efficacy of patients with pulmonary hypertension and enhance QOL of them.

关 键 词：肺动脉高压 病人专家项目 自我效能 生活质量 健康教育 呼吸系统 延续护理 

分 类 号：R473.5[医药卫生—护理学] G479[医药卫生—临床医学]