摘要
目的:探讨基于健康信念模式(HBM)的护理干预应用于老年冠心病(CHD)患者经皮冠状动脉介入治疗术(PCI)的效果。方法:选取2018年8月-2020年2月重庆市渝北区人民医院收治的90例老年CHD患者,其中2018年8月-2019年6月收治的44例为对照组,2019年7月-2020年2月收治的46例为观察组。两组患者均行PCI,对照组接受常规护理干预,观察组在对照组基础上接受基于HBM模式的护理干预。比较两组干预前、干预3个月后的健康信念量表评分、冠心病自我管理行为量表(CSMS)评分、中国心血管病患者生活质量评定问卷(CQQC)评分、主要心血管不良事件(MACE)发生率、再入院率及左室射血分数(LVEF)、左室收缩末期容积(ESV)、每搏输出量(SV)、心率(HR)情况。结果:干预前,两组健康信念量表、CSMS、CQQC评分比较,差异无统计学意义(P>0.05);干预3个月后,观察组健康信念量表、CSMS及CQQC评分均高于对照组,差异有统计学意义(P<0.05)。观察组MACE发生率及再入院率均低于对照组,差异有统计学意义(P<0.05)。干预前,两组LVEF、ESV、SV、HR水平比较,差异无统计学意义(P>0.05);干预后,观察组LVEF、ESV、SV、HR水平均优于对照组,差异有统计学意义(P<0.05)。结论:基于HBM的护理干预应用于老年CHD患者PCI,可增强健康信念,改善自我管理行为,降低MACE发生率、再入院率,提高生活质量。
Objective:To investigate the influence of nursing intervention based on health belief model(HBM)on percutaneous coronary intervention(PCI)in elderly patients with coronary heart disease(CHD).Methods:A total of 90 elderly patients with CHD who were admitted to the Chongqing Yubei People's Hospital from August 2018 to February 2020 were selected.Among them,44 cases admitted from August 2018 to June 2019 were included as the control group,and 46 cases admitted from July 2019 to February 2020 were included as the observation group.All patients in both groups underwent PCI,the control group received routine nursing intervention,and the observation group received HBM-based nursing intervention on the basis of the control group.The scores of health belief scale,coronary heart disease self-management scale(CSMS),Chinese cardiovascular disease quality of life questionnaire(CQQC),major adverse cardiovascular events(MACE)incidence,readmission rate,left ventricular ejection fraction(LVEF),left ventricular end-systolic volume(ESV),stroke volume(SV),heart rate(HR)were compared in two groups before intervention and at 3 months after intervention.Results:Before the intervention,there was no significant difference in the scores of health belief scale,CSMS and CQQC between the two groups(P>0.05).After 3 months of intervention,the scores of health belief scale,CSMS and CQQC in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).The incidence of MACE and readmission rate in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Before the intervention,there was no significant difference in the levels of LVEF,ESV,SV and HR between the two groups(P>0.05).After intervention,the levels of LVEF,ESV,SV and HR in the observation group were better than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:HBM-based nursing intervention applied to PCI in elderly CHD
作者
周雪勤
龚家容
Zhou Xue-qin;Gong Jia-rong(Chongqing Yubei People's Hospital,Chongqing 401120,China)
出处
《中国社区医师》
2022年第21期135-137,共3页
Chinese Community Doctors
关键词
健康信念模式
老年冠心病
经皮冠状动脉介入治疗
自我管理行为
再入院率
Health belief model
Elderly coronary heart disease
Percutaneous coronary intervention
Self-management behavior
Readmission rate
