中西医结合护理 (Apr 2023)
Application of nursing intervention based on Information-Motivation-Behavioral skill model in improvement of readiness for hospital discharge of patients after percutaneous coronary intervention for coronary heart disease (基于IMB模型的护理干预在提高冠心病经皮冠状动脉介入治疗术后患者出院准备度中的应用)
Abstract
Objective To investigate the effect of Information-Motivation-Behavioral skill model-based(IMB-based) nursing intervention on improvement of readiness for hospital discharge of patients after percutaneous coronary intervention(PCI)for coronary heart disease. Methods Totally 60 patients undergoing PCI for coronary heart disease were randomly divided into the control group and observation group, with 30 cases in each group. The control group received routine cardiovascular care and postoperative rehabilitation, and an IMB-based nursing path was used in the observation group. Patients were investigated by using Readiness for Hospital Discharge Scale (RHDS) and Coronary Artery Disease Self-Management Scale(CSMS), and incidence of major adverse cardiac events was compared between two groups. Results Sub-scale Scores of personal status, coping ability and expected support among patients in the observation group were higher than those of patients in the control group after intervention (P＜0. 01). Sub-scale scores of daily life management, disease medical management and emotion regulation among patients in the observation group were higher than those of patients in the control group after intervention (P＜0. 01). The total incidence of major adverse cardiovascular events in the observation group was lower than that of the control group (P＜0. 05). Conclusion The IMB-based nursing path is effective to improve the self-management skills and readiness for hospital discharge in coronary heart disease patients, and reduce the risk of adverse cardiac events after PCI. (目的 探讨基于IMB模型的护理干预提高冠心病经皮冠状动脉介入治疗(PCI)术后患者出院准备度的效果。方法 选取2021年1月—6月医院收治的行PCI术的60例冠心病患者为研究对象, 随机分为对照组和观察组, 各30例。对照组接受心内科常规护理方案, 观察组在对照组上实施基于IMB模型的护理干预路径。采用医院出院准备度量表(RHDS)评价患者出院准备度, 采用冠心病自我管理量表(CSMS)评估患者自我管理水平, 统计两组PCI术后6个月心脏不良事件发生情况。结果 干预后, 观察组RHDS量表中个人状态、适应能力、预期性支持维度评分高于对照组, 差异有统计学意义(P＜0. 01)。观察组CSMS量表中日常生活管理、疾病医学管理、情绪认知维度评分高于对照组, 差异有统计学意义(P＜0. 01)。观察组心脏不良事件总发生率低于对照组, 差异有统计学意义(P＜0. 05)。结论 基于IMB模型的护理干预能有效提高冠心病PCI术后患者自我管理能力和出院准备度, 降低心脏不良事件发生风险。)
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