JCI标准理论指导下标准化护理模式在急性心肌梗死介入治疗患者中的应用  

Application of standardized nursing mode guided by JCI standard theory in patients with acute myocardial infarction undergoing interventional therapy

作　　者：张雪花 庞敏雁 王蓉 谢美红 Zhang Xuehua;Pang Minyan;Wang Rong;Xie Meihong(Department of Cardiology,Suzhou Municipal Hospital,Suzhou 215000,China)

机构地区：[1]苏州市立医院本部心内科,苏州215000

出　　处：《国际护理学杂志》2024年第2期223-227,共5页international journal of nursing

基　　金：江苏省自然科学基金青年基金资助项目(BK20190189)。

摘　　要：目的探究急性心肌梗死介入治疗患者应用JCI标准理论指导下标准化护理模式可行性与效果。方法选取2020年3月至2022年8月苏州市立医院本部心血管内科收治的70例急性心肌梗死介入治疗患者,以随机数字表法将其分为对照组和干预组,各35例。对照组实施常规护理模式,观察组实施JCI标准理论指导下标准化护理模式,对比两组患者护理前后3个月的中文版积极度量表(PAM)评分和生活质量量表评分。结果护理前两组患者PAM评分、生活质量评分比较无统计学差异(P>0.05);干预后3个月观察组患者自我健康管理意识(6.12±1.89)分、疾病治疗相关知识(13.28±1.54)分、疾病预防相关能力(13.61±1.33)分、健康生活行为的信念(9.22±1.34)分等PAM评分和症状(30.17±1.87)分、躯体功能(35.67±1.55)分、心理社会功能(63.23±4.32)分、认知功能(11.24±1.34)分、满意度(24.88±1.77)分、不良反应(22.14±1.31)分等生活质量评分均显著高于对照组,差异有统计学意义(P<0.05)。结论急性心肌梗死介入治疗患者应用常规护理和JCI标准理论指导下标准化护理两种模式相比较,JCI标准理论指导下标准化护理模式在改善患者面对疾病的积极度和提高患者生活质量方面效果更加显著。Objective To explore the feasibility of standardized nursing mode under the guidance of JCI standard theory for patients with acute myocardial infarction undergoing interventional therapy.Methods A total of 70 patients with acute myocardial infarction treated by interventional therapy in this hospital from March 2020 to August 2022 were selected,and they were randomly divided into the control group and the observation group of 35 patients.The control group implemented the routine nursing mode,and the observation group implemented the standardized nursing mode under the guidance of JCI standard theory.The Chinese version of the Patient Activation Measure(PAM)and the Quality of Life Scale were compared between the two groups of patients before and after three months of nursing.Results There was no statistical difference between PAM score and quality of life score between the two groups before nursing(P>0.05).In the 3 months after the intervention,patients′self-healthe management awareness(6.12±1.89)score,disease treatment related knowledge(13.28±1.54)score,disease prevention related ability(13.61±1.33)score,belief in healthy living behavior(9.22±1.34)score,PAM score and symptoms(30.17±1.87)score,physical function(35.67±1.55)score,psychosocial function(63.23±4.32)score,cognitive function(11.24±1.34)score,satisfaction(24.88±1.77)score,quality of life scores,adverse reactions(22.14±1.31)score were significantly higher than the control group(P<0.05).Conclusions Compared with the two modes of routine nursing and standardized nursing under the guidance of JCI standard theory for patients with acute myocardial infarction undergoing interventional therapy,the standardized nursing mode under the guidance of JCI standard theory has more significant effects in improving patients′enthusiasm for facing diseases and improving patients′quality of life.

关 键 词：急性心肌梗死 介入治疗 JCI标准理论 积极度 生活质量 

分 类 号：R473.5[医药卫生—护理学]