摘要
目的:探讨行心脏不停跳冠脉搭桥手术的冠心病术后患者实施动机性交谈的效果。方法:选择山西省心血管医院于2019年1月-2021年1月行心脏不停跳冠脉搭桥手术的冠心病患者82例,依据随机数字表法分为观察组41例与对照组41例。对照组采取常规护理干预,观察组在常规护理干预基础上实施动机性交谈。比较两组干预前后心理状态、自我管理能力和自我效能变化,及干预后患者疾病知晓情况。结果:两组干预后冠心病患者SAS评分和SDS评分低于干预前(P<0.05);观察组干预后冠心病患者SAS评分和SDS评分低于对照组(P<0.05)。两组干预后冠心病患者症状管理、饮食管理、药物管理和日常生活管理评分高于干预前(P<0.05);观察组干预后冠心病患者症状管理、饮食管理、药物管理和日常生活管理评分高于对照组(P<0.05)。观察组冠心病患者对疾病知晓率高于对照组(P<0.05)。两组干预后冠心病患者GSES量表评分高于干预前(P<0.05);观察组干预后冠心病患者GSES量表评分高于对照组(P<0.05)。结论:行心脏不停跳冠脉搭桥手术的冠心病术后患者实施动机性交谈的效果良好,可改善患者心理状态,提高患者自我管理能力和自我效能,且可提高患者对疾病知晓度。
Objective:To investigate the effect of motivated conversation nursing for patients undergoing coronary artery bypass surgery with beating heart.Methods:A total of 82 patients with coronary heart disease who underwent beating heart coronary artery bypass surgery in Shanxi Provincial Cardiovascular Diseases Hospital from January 2019 to January 2021 were selected and divided into observation group and control group with 41 cases in each group according to the random number table method.The control group took routine nursing intervention,and the observation group implemented motivational conversation nursing on the basis of routine nursing intervention.The changes in mental state,self-management ability and self-efficacy of two groups before and after intervention were compared,and the patient’s disease awareness after the intervention.Results:The two groups SAS score and SDS score of patients with coronary heart disease after intervention were lower before intervention (P<0.05);the SAS score and SDS score of patients with coronary heart disease in the observation group after intervention were lower than that in the control group (P<0.05).The scores of symptom management,diet management,medication management and daily life management of patients with coronary heart disease after intervention in the two groups were higher before intervention (P<0.05);the scores of symptom management,diet management,drug management and daily life management of patients with coronary heart disease in the observation group after intervention were higher than that in the control group (P<0.05).The awareness rate of patients with coronary heart disease in the observation group was higher than that in the control group (P<0.05).The GSES scale score of patients with coronary heart disease in the two groups after intervention was higher before intervention (P<0.05);the score of GSES scale in patients with coronary heart disease in the observation group after intervention was higher than that in the control group (P<0.05).Conclusion:Patient
作者
刘丽华
王芳
张燕华
刘旭东
LIU Li-hua;WANG Fang;ZHANG Yan-hua;LIU Xu-dong(Shanxi Provincial Cardiovascular Diseases Hospital)
出处
《中国标准化》
2021年第20期191-195,共5页
China Standardization
关键词
心脏不停跳冠脉搭桥手术
冠心病
动机性交谈
beating heart coronary artery bypass surgery
coronary heart disease
motivational conversation nursing
