摘要
目的评价标准系统多维度模式联合行为转变理论模式对心肌梗死患者生活质量及心功能的影响。方法选择2022年3月至2023年8月收治的心肌梗死患者90例,随机数字表法分为行为转变组和多维度联合组,每组45例。行为转变组给予行为转变理论模式干预,多维度联合组采用标准系统多维度模式联合行为转变理论模式,对比2组干预前后心功能[左心室收缩末期直径(LVESD)、左心室舒张末期直径(LVEDD)、左心室射血分数(LVEF)]、血液流变学、心肌损伤标志物[肌红蛋白(MYO)、肌酸激酶(CK)、天冬氨酸转氨酶(AST)]、日常生活(barthel指数、ADL评分)、睡眠质量(PSQI评分)、依从性及满意度的变化。结果与行为转变组比较,多维度联合组LVESD、LVEDD、全血还原黏度、高切还原黏度、低切还原黏度、MYO、CK、AST水平及PSQI评分明显下降,且LVEF水平、ADL评分、barthel指数及依从性、满意度提升,差异均有统计学意义(P<0.05)。结论通过标准系统多维度模式联合行为转变理论模式干预的开展,能有效改善心肌梗死患者心功能,改善患者生活质量。
Objective To evaluate the impact of standard system multi-dimensional nursing combined with behavioral transformation theory-based nursing on quality of life and cardiac function in patients with myocardial infarction(MI).Methods Ninty MI patients who visited from March 2022 to August 2023 were divided into behavioral transformation group(behavioral transformation theory-based nursing,n=45)and multidimensional combination group(standard system multi-dimensional nursing combined with behavioral transformation theory-based nursing,n=45)by a random number table.The changes in heart function,blood rheology,myocardial injury markers,daily life including barthel index,Activities of Daily Living(ADL)score,sleep quality including Pittsburgh Sleep Quality Index(PSQI)score,compliance and satisfaction scores were compared between groups before intervention and intervention.Results The multidimensional combination group had significantly decreased left ventricular end-systolic dimension(LVESD),left ventricular end-diastolic diameter(LVEDD),whole blood viscosity(WBV),high-shear WBV and low-shear WBV,myoglobin(MYO),creatine kinase(CK),aspartate aminotransferase(AST),PSQI score,and significantly increased left ventricular ejection fraction(LVEF)level,ADL score,barthel index,compliance,satisfaction than the behavioral transformation group(all P<0.05).Conclusion The implementation of standard system multi-dimensional nursing combined with behavioral transformation theory-based nursing can effectively improve the cardiac function and quality of life of MI patients.
作者
李晓梅
张婵
张亚娜
LI Xiaomei;ZHANG Chan;ZHANG Yana(Outpatient Department,the First Affiliated Hospital of Air Force Medical University(Xijing Hospital),Shaanxi,Xi’an 771032,China)
出处
《河北医药》
CAS
2024年第21期3250-3253,3258,共5页
Hebei Medical Journal
关键词
标准系统多维度
行为转变理论
心功能
心肌梗死
生活质量
standard system multi-dimensional nursing
behavioral transformation theory
cardiac function
myocardial infarction
quality of life
