基于智谋理论的自我管理干预方案在冠心病患者PCI后的应用效果  

Application Effect of Self-Management Intervention Program Based on Resourcefulness Theory in Patients with Coronary Artery Disease after PCI

作　　者：李梦格 杨秀春[2] 李倩 刘梦绮 赵亚琼 宗义君 LI Mengge;YANG Xiuchun;LI Qian;LIU Mengqi;ZHAO Yaqiong;ZONG Yijun(School of Nursing,Hebei University of Chinese Medicine/Key Laboratory for Health Care with Chinese Medicine of Hebei Province,Shijiazhuang 050000,China;Department of Cardiovascular Medicine,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China)

机构地区：[1]河北中医药大学护理学院河北省中医药康养照护研究重点实验室,河北省石家庄市050000 [2]河北医科大学第二医院心血管内二科,河北省石家庄市050000

出　　处：《实用心脑肺血管病杂志》2025年第2期113-118,共6页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：河北省自然科学基金资助项目(H2021206229);2022年度河北省医学科学研究课题计划项目(20221482)。

摘　　要：目的探讨基于智谋理论的自我管理干预方案在冠心病患者经皮冠状动脉介入治疗(PCI)后的应用效果。方法采用便利抽样法选取2023年6月—2024年3月在河北省人民医院心内科住院且接受PCI的80例冠心病患者作为研究对象,采用随机数字表法将其分为智谋组和常规组,各40例。常规组于PCI后行常规护理干预,智谋组于PCI后在常规护理干预的基础上行基于智谋理论的自我管理干预方案,两组干预时间均为3个月。分别于干预前后比较两组智谋量表评分、中文版冠心病自我效能量表(CSES)评分、冠心病自我管理量表(CSMS)评分及不良心血管事件发生率。结果干预期间常规组有2例患者转院,2例患者退出研究;智谋组有3例患者转院,2例患者不配合干预。最终71例患者完成研究,其中常规组36例、智谋组35例。智谋组干预后个人智谋、社会智谋维度得分及智谋量表总分高于干预前(P<0.05);干预后,智谋组个人智谋、社会智谋维度得分及智谋量表总分高于常规组(P<0.05)。智谋组干预后功能维持、症状维持维度得分及中文版CSES总分高于干预前(P<0.05);干预后,智谋组功能维持、症状维持维度得分及中文版CSES总分高于常规组(P<0.05)。智谋组干预后日常生活管理、疾病医学管理、情绪管理维度得分及CSMS总分高于干预前(P<0.05);干预后,智谋组日常生活管理、疾病医学管理、情绪管理维度得分及CSMS总分高于常规组(P<0.05)。智谋组不良心血管事件总发生率低于常规组(P<0.05)。结论基于智谋理论的自我管理干预方案可提高冠心病患者PCI后的智谋水平、自我管理效能、自我管理能力,降低不良心血管事件发生率。Objective To investigate the application effect of self-management intervention program based on resourcefulness theory in patients with coronary artery disease after percutaneous coronary intervention(PCI).Methods A total of 80 patients with coronary artery disease who underwent PCI in Cardiology Department of Hebei Provincial People's Hospital from June 2023 to March 2024 were selected as the research subjects using the convenience sampling method,and divided into the resourcefulness group and routine group using random number table method,with 40 patients in each group.The routine group received routine nursing intervention after PCI,and the resourcefulness group implemented the self-management intervention program based on resourcefulness theory after PCI on the basis of routine nursing intervention,with an intervention time of 3 months for both groups.The scores of Resourcefulness Scale,Chinese version of Coronary Artery Disease Self-Efficacy Scale(CSES),Coronary Self-Management Scale(CSMS)before and after intervention and incidence of adverse cardiovascular events were compared between the two groups.Results During the intervention period,2 cases in the routine group were transferred for treatment and 2 cases withdrew from the study;3 patients in the resourcefulness group were transferred for treatment,and 2 cases did not cooperate with the intervention.Eventually,71 patients completed the study,including 36 patients in the routine group and 35 patients in the resourcefulness group.After intervention,the scores of individual resourcefulness and social resourcefulness dimensions, and the total score of Resourcefulness Scale in the resourcefulness group were higher than those before intervention (P < 0.05);after intervention, the scores of individual resourcefulness and social resourcefulness dimensions, and the total score of Resourcefulness Scale in the resourcefulness group were higher than those in the routine group (P < 0.05) . After intervention, the scores of functional maintenance and symptom maintena

关 键 词：冠心病 经皮冠状动脉介入治疗 智谋理论 自我管理 

分 类 号：R541.4[医药卫生—心血管疾病]