基于行为转变理论的护理对心肌缺血患者自我管理、治疗依从性及睡眠质量的影响  

The Impact of Nursing Based on Behavior Change Theory on Self-Management,Treatment Compliance,and Sleep Quality in Patients with Myocardial Ischemia

作　　者：方艺丹 黄秋柳 刘礼芳[1] 叶青青 杨泽山 FANG Yidan;HUANG Qiuliu;LIU Lifang;YE Qingqing;YANG Zeshan(Department of Cardiology,First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属第一医院,厦门361000

出　　处：《世界睡眠医学杂志》2024年第11期2538-2541,共4页World Journal of Sleep Medicine

摘　　要：目的:探讨基于行为转变理论的护理对心肌缺血患者自我管理、治疗依从性及睡眠质量的影响。方法:选取2023年1月至12月厦门大学附属第一医院收治的冠心病心肌缺血患者180例作为研究对象,按照随机数字表法分为对照组和观察组,每组90例。对照组开展常规护理干预,观察组给予基于行为转变理论的护理干预。采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,采用自我护理能力量表(ESCA)评估2组患者自我管理能力,并比较2组患者的治疗依从性。结果:干预后,观察组自我管理ESCA评分显著高于对照组,PSQI评分显著低于对照组,观察组治疗依从性显著高于对照组,差异均有统计学意义(均P<0.05)。结论:对心肌缺血患者予以基于行为转变理论的护理效果显著,不仅可以强化患者自我管理能力,还能提高其治疗依从性,并确保治疗期间能维持良好的睡眠质量,对促进病情好转具有积极作用,患者对这类护理模式内容更易接受,值得临床推广应用。Objective:To explore the impact of nursing based on behavior change theory on self-management,treatment compliance,and sleep quality in patients with myocardial ischemia.Methods:A total of 180 patients with coronary heart disease and myocardial ischemia admitted to the First Affiliated Hospital of Xiamen University from January to December 2023 were selected as research subjects.They were randomly divided into a control group(n=90)and an observation group(n=90)according to a random number table method.The control group received routine nursing intervention,while the observation group received nursing intervention based on behavior change theory.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the differences in sleep quality between two groups of patients,and the Self Care Ability Scale(ESCA)was used to evaluate the self-management ability of the two groups of patients and compare their treatment compliance.Results:After intervention,the self-management ESCA score of the observation group was significantly higher than that of the control group,and the PSQI score was significantly lower than that of the control group.The treatment compliance of the observation group was significantly higher than that of the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion:Nursing based on behavior change theory has significant effects on patients with myocardial ischemia.It can not only strengthen patients'self-management ability,but also improve their treatment compliance and ensure good sleep quality during treatment,which has a positive effect on promoting disease improvement.Patients are more receptive to this nursing model and it is worthy of clinical promotion and application.

关 键 词：心肌缺血 冠心病 基于行为转变理论的护理 常规护理 自我管理 治疗依从性 睡眠质量 护理价值 

分 类 号：R541.4[医药卫生—心血管疾病] R338.63[医药卫生—内科学]