摘要
目的:探讨自我效能量表在冠状动脉旁路移植术(CABG)术后护理中的应用价值和效果。方法:选择2013年3月至2014年3月来我院进行治疗的92例CABG术后患者为研究对象。根据随机数字表,患者被随机均分为常规护理组(接受常规护理)和自我效能组(接受自我效能管理)。比较两组患者入院24h,出院时,出院1个月、3个月和6个月时的体检简明健康调查表(SF-36)和一般自我效能量表评分。结果:两组患者入院24h内,SF-36和一般自我效能感量表评分无显著差异(P均>0.05)。与常规护理组比较,出院时、出院1个月、3个月和6个月时,自我效能组一般自我效能量表评分[1个月:(2.50±0.49)分比(2.90±0.41)分,6个月:(2.72±0.47)分比(3.32±0.33)分]和SF-36评分[1个月:(73.22±6.88)分比(79.45±7.32)分,6个月:(83.62±4.77)分比(93.46±3.65)分]均显著升高,P均<0.01。结论:自我效能管理可以促使CABG术后患者的自信心提高,使患者对行为有选择性改变或调整,努力进行康复训练,有良好的前景和社会效益,值得推广和应用。
Objective： To explore application value and therapeutic effect of self-efficacy scale in postoperative nurs- ing of patients undergoing coronary artery bypass grafting （CABG）. Methods： A total of 92 patients after CABG treated in our hospital from Mar 2013 to Mar 2014 were selected. According to random number table, patients were randomly and equally divided into routine nursing group （received routine nursing） and self-efficacy group （received self-efficacy management）. Scores of the medical outcomes study 36-item short-form health survey （SF-36） and gen- eral self-efficacy scale （GSES） were compared between two groups in 24h after hospitalization, at discharge, and one, three, six months after discharge. Results： In 24h after hospitalization, there were no significant difference in scores of SF-36 and GSES between two groups, P〉0.05 both. Compared with routine nursing group at discharge, and one, three, six months after discharge, there were significant rise in scores of GSES [-one month： （2.50± 0.49） scores vs. （2.90± 0.41） scores, six months： （2.72 ± 0.47） scores vs. （3.32 ± 0.33） scores] and SF-36 [one month： （73.22 ±6.88） scores vs. （79.45 ± 7.32） scores, six months： （83.62 ± 4. 77） scores vs. （93.46 ±3.65） scores] in self-efficacy group, P〈0.01 all. Conclusion： Self-efficacy management can facilitate improvement of patient＇s confidence, their behavior changes or adjustment, and their efforts on rehabilitation training after CABG. It shows good prospects and social benefits, which is worth extending.
作者
及亚男
JI Ya-nan(Second Department of Cardiac Surgery, Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, 150001, China)
出处
《心血管康复医学杂志》
CAS
2017年第1期108-111,共4页
Chinese Journal of Cardiovascular Rehabilitation Medicine
基金
黑龙江省教育厅科学技术项目(12541404)~~
