跨理论模型干预模式在冠状动脉造影患者中的应用  

Effects of the transtheoretical model-based intervention in patients undergoing coronary angiography

作　　者：孟令娟[1] 贾晓辉[1] 宋圆圆[2] 丁鑫鑫 高琳盛 Meng Lingjuan;Jia Xiaohui;Song Yuanyuan;Ding Xinxin;Gao Linsheng(Interventional Surgery Room,Cardiac Center,Henan Provincial People's Hospital,Fuwai Central China Cardiovascular Hospital,Fuwai Central China Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Radiology,Cardiac Center,Henan Provincial People's Hospital,Fuwai Central China Cardiovascular Hospital,Fuwai Central China Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]河南省人民医院心脏中心,阜外华中心血管病医院,郑州大学华中阜外医院介入手术室,郑州450000 [2]河南省人民医院心脏中心,阜外华中心血管病医院,郑州大学华中阜外医院放射科,郑州450000

出　　处：《中华现代护理杂志》2024年第26期3592-3596,共5页Chinese Journal of Modern Nursing

基　　金：河南省医学科技攻关计划(联合共建)项目(LHGJ20190768)。

摘　　要：目的探讨跨理论模型(TTM)干预模式在冠状动脉造影(CAG)患者中的应用效果。方法采用便利抽样法, 选取2021年5月-2022年5月拟在阜外华中心血管病医院接受CAG的146例患者为研究对象。将2021年5-11月入院患者作为对照组(n=73), 2021年12月-2022年5月入院患者作为观察组(n=73)。对照组患者实施常规护理, 观察组患者实施TTM干预模式。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、自行编制的CAG检查依从性评估表评价干预的效果。结果干预后, 两组患者SAS、SDS评分均降低, 且观察组低于对照组, 差异有统计学意义(P<0.05)。干预后, 观察组CAG检查依从性高于对照组, 差异有统计学意义(P<0.05)。结论 TTM干预模式能够改善CAG患者的心理状态, 提高CAG检查依从性。Objective To explore the effects of the transtheoretical model(TTM)-based intervention in patients undergoing coronary angiography(CAG).Methods Totally 146 patients who were scheduled to undergo CAG at Fuwai Central China Cardiovascular Hospital from May 2021 to May 2022 were selected by convenience sampling.Patients admitted from May to November 2021 were assigned to the control group(n=73),and those admitted from December 2021 to May 2022 were assigned to the observation group(n=73).The control group received routine care,while the observation group received TTM-based intervention.The effects of the intervention were evaluated using the Self-Rating Anxiety Scale(SAS),the Self-Rating Depression Scale(SDS),and a self-designed CAG compliance assessment form.Results After the intervention,SAS and SDS scores decreased in both groups,with the observation group scoring significantly lower than the control group(P<0.05).The CAG compliance in the observation group was also significantly higher than that in the control group(P<0.05).Conclusions The TTM-based intervention can improve the psychological state of CAG patients and enhance their compliance with CAG procedures.

关 键 词：冠状动脉造影 跨理论模型 焦虑 抑郁 依从性 

分 类 号：R473.5[医药卫生—护理学]