基于奥瑞姆理论的自护护理模式应用在冠心病PCI术后患者药物治疗期间的效果观察  

Observation on the Effect of Self-care nursing Mode Based on Orem's Theory during Drug Treatment of Patients with Coronary Heart Disease after PCI

作　　者：马忠慧[1] 朱永慧[1] 张青波 MA Zhonghui;ZHU Yonghui;ZHANG Qingbo(The Second Ward of Emergency Care Unit,Henan Chest Hospital/Chest Hospital Afiliated to Zhengzhou University,Zhengzhou 450003,Henan,China)

机构地区：[1]河南省胸科医院/郑州大学附属胸科医院综合监护室二病区,河南郑州450003

出　　处：《中国药物滥用防治杂志》2024年第12期2367-2368,2374,共3页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：河南省医学科技攻关计划项目(编号:LHGJ20230119)。

摘　　要：目的:探讨奥瑞姆理论的自护护理模式辅助依洛尤单抗对冠心病经皮冠状动脉介入治疗(PCI)术后患者心理状态及健康行为的影响。方法:选取我院2022年12月—2023年12月期间收治的冠心病患者125例作为研究对象,均行PCI手术并辅助依洛尤单抗治疗,采用掷骰子法随机分为实验组(63例)、对照组(62例),对照组给予常规护理模式,观察组在此基础上给予奥瑞姆理论的自护护理模式,持续干预1个月。比较两组疾病认知、不良反应发生情况、护理前后自护能力[自我护理能力测定量表(ESCA)]、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、健康行为[健康促进生活方式量表(HPLP-Ⅱ)]、生活质量[日常生活能力评定量表(ADL)、慢性病患者生命质量测定量表-冠心病(QLICD-CHD)]。结果:实验组疾病认知优良率(95.24%)高于对照组(83.87%)(P<0.05);实验组不良反应发生率(3.17%)低于对照组(14.52%)(P<0.05);实验组护理后ESCA、ADL、QLICD-CHD、HPLP-Ⅱ评分高于对照组,SAS、SDS评分低于对照组(P<0.05)。结论:奥瑞姆理论的自护护理模式辅助依洛尤单抗可有效改善冠心病PCI患者术后心理状态,提升其自护能力及健康行为,改善其生活质量。Objective:To explore the effect of self-care nursing mode of Orem's theory assisted with evolocumab on psychological state and health behavior of patients with coronary heart disease after percutaneous coronary intervention(PCI).Methods:A total of 125 patients with coronary heart disease admitted to our hospital from December 2022 to December 2023 were selected as the research objects.All patients underwent PCI and were treated with evolocumab.They were randomly divided into experimental group(63 patients)and control group(62 patients)by dice method.The control group was given routine nursing mode,and the observation group was given self-care nursing mode of Orem's theory on this basis,with continuous intervention for 1 month.The disease cognition,adverse reactions,self-care ability before and after nursing[Exercise of Self-Care Agency Scale(ESCA)],psychological status[Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)],health behavior[Health Promoting Lifestyle Profle-II(HPLP-I)],quality of life[Activities of Daily Living(ADL),Quality of Life Instruments for Chronic Diseases-Coronary heart disease(QLICD-CHD)were compared between the two groups.Results:The excellent and good rate of disease cognition in the experimental group(95.24%)was higher than that in the control group(83.87%)(P<0.05).The incidence of adverse reactions in the experimental group(3.17%)was lower than that in the control group(14.52%)(P<0.05).After nursing,the ESCA,ADL,QLICD-CHD and HPLP-II scores of the experimental group were higher than those of the control group,and the SAS and SDS scores were lower than those of the control group(P<0.05).Conclusion:The self-care nursing model of Orem's theory assisted with iloizumab can effectively improve the psychological state of patients with coronary heart disease after PCI,improve their self-care ability and health behavior,and improve their quality of life.

关 键 词：奥瑞姆理论 依洛尤单抗 冠心病 PCI 健康行为 

分 类 号：R47[医药卫生—护理学]