跨理论模型下协同护理在老年冠心病中的应用价值分析  

Analysis of the Application Value of Collaborative Nursing Under the Transtheoretical Model in Elderly Patients with Coronary Artery Disease

作　　者：李艳[1] LI Yan(Department of General Medicine,Fifth Clinical Medical College of Henan University of Chinese Medicine(Zhengzhou People's Hospital),Zhengzhou Henan 450000,China)

机构地区：[1]河南中医药大学第五临床医学院(郑州人民医院)全科医学科,河南郑州450000

出　　处：《临床研究》2025年第5期147-150,共4页Clinical Research

摘　　要：目的探究跨理论模型(TTM)下协同护理在老年冠心病(CAD)中的应用价值。方法对河南中医药大学第五临床医学院(郑州人民医院)2021年3月至2022年9月收治的128例老年CAD患者进行研究,使用随机数表法将患者分为常规组(常规护理)和协同组(TTM+协同护理),各64例。比较两组患者心理弹性量表(CD-RISC)、简易精神状态量表(MMSE)、日常生活活动能力(ADL)、心绞痛生活质量问卷(APQLQ)、服药依从性、护理满意度。结果护理后,两组患者CD-RISC坚韧、自强、乐观评分、MMSE评分、ADL评分均显著提升,且协同组高于常规组,差异均有统计学意义(P<0.05);两组患者APQLQ躯体活动、躯体症状、情绪困扰、生活满意度评分均显著降低,且协同组低于常规组,差异均有统计学意义(P<0.05);协同组患者服药依从性和护理满意度均显著高于常规组,差异均有统计学意义(P<0.05)。结论TTM下协同护理可提高CAD患者依从性和疾病认知能力,使患者心理状态、日常生活能力及生活质量得到改善并可获得满意的护理效果,值得临床应用。Objective To explore the application value of collaborative nursing under the Transtheoretical Model(TTM)in elderly patients with coronary artery disease(CAD).Methods A study was conducted on 128 elderly CAD patients admitted to the Fifth Clinical Medical College of Henan University of Chinese Medicine(Zhengzhou People's Hospital)from March 2021 to September 2022.Patients were randomly assigned to either the control group(standard nursing)or the collaborative group(TTM+collaborative nursing)using a random number table,with 64 cases in each group.The psychological resilience scale(CD-RISC),the Mini-Mental State Examination(MMSE),activities of daily living(ADL),the angina pectoris quality of life questionnaire(APQLQ),medication adherence,and nursing satisfaction were compared between the two groups.Results After nursing intervention,scores for resilience,self-efficacy,and optimism on the CD-RISC,as well as MMSE and ADL scores,were significantly higher in both groups,with the collaborative group showing superior results compared to the control group,and all differences were statistically significant(P<0.05).The APQLQ scores for physical activity,physical symptoms,emotional distress,and life satisfaction all significantly decreased in both groups,with the collaborative group scoring lower than the control group,and all differences were statistically significant(P<0.05).The medication adherence and nursing satisfaction levels in the collaborative group were significantly higher than in the control group,with statistically significant differences(P<0.05).Conclusion Collaborative nursing under the TTM can enhance medication adherence and disease awareness among CAD patients,improve their psychological state,daily living abilities,and quality of life,and achieve satisfactory nursing outcomes,making it worthy of clinical application.

关 键 词：跨理论模型 协同护理 冠心病 应用价值 日常生活能力 

分 类 号：R473[医药卫生—护理学]