基于马斯洛需求理论的病友互助模式对冠心病PCI患者自护能力、心理弹性及MACE的影响  

Impact of Peer Support Model Based on Maslow’s Hierarchy of Needs on Self-care Ability,Psychological Resilience,and MACE in Patients with Coronary Heart Disease Undergoing PCI

作　　者：张燕萍 许亚莉 赵会连[1] ZHANG Yanping;XU Yali;ZHAO Huilian(Department of Intervention,the First People’s Hospital of Pingdingshan,Pingdingshan 467000,China)

机构地区：[1]平顶山市第一人民医院介入科,河南平顶山467000

出　　处：《河南医学研究》2024年第19期3628-3632,共5页Henan Medical Research

摘　　要：目的探究基于马斯洛需求理论的病友互助模式在冠心病(CHD)经皮冠状动脉介入治疗(PCI)患者中的应用效果。方法选取2022年5月至2023年4月于平顶山市第一人民医院接受PCI治疗的102例CHD患者纳入研究,根据随机数表法分为对照组和观察组,各51例。对照组接受常规护理,于此基础上观察组接受基于马斯洛需求理论的病友互助模式。观察两组干预前后心理弹性量表(CD-RISC)、自我护理能力测定量表(ESCA)、一般自我效能感量表(GSES)、服药依从性、有氧运动能力、主要不良心血管事件(MACE)发生率。结果干预后,观察组患者的CD-RISC、ESCA、GSES评分、服药依从性、无氧阈(AT)、峰值耗氧量(VO 2peak)均高于对照组(P<0.05),两组MACE发生率比较差异无统计学意义(P>0.05)。结论基于马斯洛需求理论的病友互助模式能改善CHD PCI患者的心理弹性,提高自我效能、自护能力和服药依从性,从而改善有氧运动能力。Objective To explore the application effect of peer support model based on Maslow’s hierarchy of needs in patients with coronary heart disease(CHD)undergoing percutaneous coronary intervention(PCI).Methods A total of 102 CHD patients who underwent PCI treatment at the First People’s Hospital of Pingdingshan from May 2022 to April 2023 were selected for inclusion in the study.They were divided into a control group and an observation group,with 51 cases in each group,according to a random number table method.The control group received routine care,while the observation group received a peer support model based on Maslow’s hierarchy of needs on this basis.The Connor-Davidson resilience scale(CD-RISC),exercise of self-care agency scale(ESCA),general self-efficacy scale(GSES),aerobic exercise capacity,and medication compliance before and after intervention,as well as the incidence of major adverse cardiovascular events(MACE)were observed in both groups.Results After intervention,the observation group patients showed higher scores in CD-RISC,ESCA,GSES,medication compliance,anaerobic threshold(AT),and peak oxygen consumption(VO 2peak)compared to the control group(P<0.05).However,there was no statistically significant difference in the incidence of MACE between the two groups(P>0.05).Conclusion The peer support model based on Maslow’s hierarchy of needs can improve the psychological resilience of CHD PCI patients,enhance their self-efficacy,self-care ability,and medication adherence,thereby improving their aerobic exercise capacity.

关 键 词：马斯洛需求理论 病友互助模式 冠心病 心理弹性 自护能力 

分 类 号：R543[医药卫生—心血管疾病]