摘要
目的探讨基于健康相关行为的生态学模式(HPEM)的心脏康复延续护理在冠心病经皮冠状动脉介入治疗(PCI)术后患者中的应用效果。方法以HPEM模式为理论依据,构建PCI术后患者的医院-社区-家庭的心脏康复连续性照护服务。选取2017年12月~2018年6月在某三甲医院住院的86例PCI术后患者为研究对象,随机分为对照组与观察组,每组43例。对照组给予心内科常规出院护理,观察组在常规护理的基础上给予基于HPEM的心脏康复延续护理。比较两组患者出院6个月后的自我管理行为、服药依从性及生活质量。结果共78例患者完成研究,观察组40人,对照组38人。出院6个月后,观察组的自我管理行为总分、服药依从性得分与生活质量得分均高于对照组,差异有统计学意义(P<0.05)。结论基于HPEM的心脏康复延续护理模式能改善患者的自我管理行为,提高患者的服药依从性,增加PCI术后患者的生存质量。
ObjectiveTo explore the effect of cardiac health rehabilitation model based on Health Promotion Ecological Model (HPEM) in patients with coronary artery disease undergoing percutaneous coronary intervention (PCI). MethodsThe HPEM model was used as a theoretical basis to construct a hospital-community-family cardiac rehabilitation continuous care service for patients after PCI. A randomized controlled study was conducted to select 86 patients with postoperative PCI who were hospitalized in a top three hospital from December 2017 to June 2018. They were randomly divided into control group and experimental group, with 43 cases in each group. The control group underwent routine cardiac discharge care in the cardiology department. The experimental group implemented a HPEM-based cardiac rehabilitation continuous care model based on the control group. The quality of life and self-management behavior of the two groups of patients after 6 months of discharge were compared. Results78 subjects completed the study. After 6 months of discharge, the scores of the self-administration behavior scores,medication adherenceand quality of life scores of the experimental group were higher than those of the control group, and the difference was statistically significant ( P <0.05). ConclusionHPEM-based cardiac rehabilitation continuation care can encourage patients' self-management behavior, promote the patient's medication adherenceand improve the quality of life of patients after PCI.
作者
蒋运兰
易银萍
胡月
张琼月
周月
李玲锐
李栋霜
李庆
JIANG Yunlan;YI Yinping;HU Yue;ZHANG Qiongyue;ZHOU Yue;LI Lingrui;LI Dongshuang;LI Qing(Teaching Hospital of Chengdu University of T.C.M, Chengdu 610072, China;Henan Provincial People's Hospital, Zhengzhou 450003, China;Nursing College, Chengdu University of T.C.M, Chengdu 610072, China)
出处
《西部医学》
2019年第8期1287-1292,共6页
Medical Journal of West China
基金
四川省卫计委重点项目(17ZD032)
关键词
相关行为的生态学模式
PCI术后
延续护理
心脏康复
Health Promotion Ecological Model
Percutaneous Coronary Intervention
Continuing Care
Cardiac Rehabilitation
