基于自我效能理论的心脏康复护理方案在中青年心肌梗死患者中的应用效果  

Application effect of cardiac rehabilitation nursing program based on self-efficacy theory in young and middle-aged patients with myocardial infarction

作　　者：秦昌芸 高利传 荀红霞 刘颖 韩晶[1] QIN Changyun;GAO Lichuan;XUN Hongxia;LIU Ying;HAN Jing(School of Nursing,Qingdao University,Qingdao 266021;Zibo First Hospital,Zibo 255200,China)

机构地区：[1]青岛大学护理学院,山东青岛266021 [2]淄博市第一医院,山东淄博255200

出　　处：《临床医学研究与实践》2025年第7期143-146,共4页Clinical Research and Practice

摘　　要：目的分析基于自我效能理论的心脏康复护理方案在中青年心肌梗死患者中的应用效果。方法选取2023年12月至2024年8月在淄博市某三级甲等医院心内科一、二病区住院的58例中青年心肌梗死患者作为研究对象,将其随机分为对照组和干预组,各29例。对照组患者给予常规护理管理,干预组在对照组的基础上开展基于自我效能理论的心脏康复护理方案。比较两组的干预效果。结果干预后,两组的冠心病自我管理行为量表(CSMS)评分均显著高于干预前,且干预组高于对照组(P<0.05);干预后,干预组的冠心病自我效能感量表(CSES)评分均高于干预前(P<0.05)。干预后,干预组的6 min步行距离(6MWD)显著长于对照组(P<0.05)。干预组出院后1、3个月的再住院率略低于对照组,但差异无统计学意义(P>0.05)。结论在中青年心肌梗死患者的常规管理基础上开展基于自我效能理论的心脏康复护理方案,可有效提升患者的自我管理能力与运动耐力,值得临床推广与应用。Objective To analyze the application effect of cardiac rehabilitation nursing program based on self-efficacy theory in young and middle-aged patients with myocardial infarction.Methods From December 2023 to August 2024,58 young and middle-aged patients with myocardial infarction who were hospitalized in the first and second wards of cardiology department of a tertiary first-class hospital in Zibo city were selected as the research objects,and the patients were randomly divided into control group and intervention group,with 29 cases in each group.The patients in the control group were given routine nursing management,and the intervention group was given cardiac rehabilitation nursing program based on self-efficacy theory on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the score of Coronary Self-Management Scale(CSMS)in the two groups was significantly higher than that before intervention,and that in the intervention group was higher than the control group(P<0.05);after intervention,the score of Cardiac Self-Efficacy Scale(CSES)in the intervention group was higher than that before intervention(P<0.05).After intervention,the 6 minute walking distance(6MWD)of the intervention group was significantly longer than that of the control group(P<0.05).The rehospitalization rate of the intervention group was slightly lower than that of the control group at 1 and 3 months after discharge,but the difference was not statistically significant(P>0.05).Conclusion On the basis of routine management of young and middle-aged patients with myocardial infarction,cardiac rehabilitation nursing program based on self-efficacy theory can effectively improve patients'self-management ability and exercise endurance,which is worthy of clinical promotion and application.

关 键 词：自我效能理论 心脏康复护理 中青年 心肌梗死 

分 类 号：R473[医药卫生—护理学]