Cox健康行为互动模式对急性心肌梗死经皮冠状动脉介入术后患者自我管理行为和服药依从性的影响  

The Effects of Cox's Healthy Behavior Interaction Model on Selfmanagement Behavior and Medication Adherence of Patients with Acute Myocardial Infarction after Percutaneous Coronary Intervention

作　　者：张云 顾明慧 ZHANG Yun;GU Minghui(Department of Cardiovascular,Nantong Tongzhou People's Hospital,Nantong,Jiangsu,226300,China)

机构地区：[1]南通市通州区人民医院心血管内科,江苏南通226300

出　　处：《中外医疗》2025年第8期117-120,129,共5页China & Foreign Medical Treatment

摘　　要：目的探讨急性心肌梗死(acute myocardial infarction,AMI)经皮冠状动脉介入(percutaneous coronary intervention,PCI)术后采用Cox健康行为互动模式护理,对患者自我管理行为和服药依从性的影响。方法随机选取2021年1月—2022年12月南通市通州区人民医院心血管内科收治的70例PCI术后AMI患者为研究对象,根据不同护理方法将其分为对照组和观察组,各35例。对照组接受饮食、运动、用药指导等PCI术后常规护理,观察组在常规护理基础上实施以Cox健康行为互动模式为指导的护理干预。比较两组患者自我管理行为能力、服药依从性和生活质量。结果干预1个月、3个月时,观察组冠心病自我管理量表(Coronary Self-Management Scale,CSMS)评分为(83.91±6.59)分、(99.17±8.61)分,Morisky服药依从性量表(Morisky Medication Adherence Scale-8,MMAS-8)评分为(6.62±1.11)分、(7.05±0.96)分,简明健康状况测定量表(The MOS 36-item Short Form Health Survey,SF-36)评分为(69.11±7.35)分、(76.48±6.96)分,均高于对照组的(80.20±7.52)分、(83.74±7.48)分、(5.34±1.32)分、(5.25±1.55)分、(61.31±8.45)分、(65.77±9.82)分,差异均有统计学意义(t=2.195,8.004,4.391,5.841,4.120,5.264;P均<0.05)。干预前、干预1个月、干预3个月,两组患者CSMS量表、MMAS-8S量表、SF-36量表评分的组间效应、时间效应、交互效应比较,差异均有统计学意义(P均<0.05)。结论实施Cox健康行为互动模式护理干预有助于改善AMI患者PCI术后的自我管理能力和服药依从性。Objective To explore the effect of Cox health behavior interaction model nursing on self-management behavior and medication compliance of patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI).Methods From January 2021 to December 2022,70 patients with AMI after PCI admitted to the Department of Cardiology,Nantong Tongzhou People's Hospital were randomly selected as the research objects.According to different nursing methods,they were divided into control group and observation group,35 cases in each group.The control group received routine nursing after PCI such as diet,exercise and medication guidance,while the observation group received nursing intervention guided by Cox health behavior interaction model on the basis of routine nursing.The self-management behavior ability,medication compliance and quality of life were compared between the two groups.Results At 1 month and 3 months of intervention,the scores of Coronary Self-Management Scale(CSMS)in the observation group were(83.91±6.59)points and(99.17±8.61)points,the scores of Morisky Medication Adherence Scale-8(MMAS-8)were(6.62±1.11)points and(7.05±0.96)points,and the MOS 36-item Short Form Health Survey(SF-36)scores were(69.11±7.35)points and(76.48±6.96)points,which were higher than those of the control group(80.20±7.52)points,(83.74±7.48)points,(5.34±1.32)points,(5.25±1.55)points,(61.31±8.45)points,(65.77±9.82)points,and the differences were statistically significant(t=2.195,8.004,4.391,5.841,4.120,5.264;all P<0.05).There were significant differences in the inter-group effect,time effect and interaction effect of CSMS scale,MMAS-8S scale and SF-36 scale scores between the two groups before intervention,1 month after intervention and 3 months after intervention(all P<0.05).Conclusion The implementation of Cox health behavior interaction model nursing intervention is helpful to improve the self-management ability and medication compliance of AMI patients after PCI.

关 键 词：急性心肌梗死 Cox健康行为互动模式 自我管理行为 服药依从性 

分 类 号：R47[医药卫生—护理学]