摘要
目的:探讨增强自我效能联合强化健康教育对急性冠脉综合征患者经皮冠状动脉介入治疗术(PCI)后心理负担、药物依从性及主观幸福感的影响。方法:选取2014年4月~2016年2月我院心血管内科收治的186例急性冠脉综合征并行PCI术治疗的患者为研究对象,将其随机等分为对照组与观察组,治疗出院1年内,两组均进行延续护理,对照组予以出院指导及健康宣教,观察组予以提高自我效能感及强化健康宣教,采用心理健康连续体量表、8条服药依从性量表及纽芬兰纪念大学幸福度量表评估两组患者心理负担情况、药物依从性及主观幸福感,并采用一般自我效能感评估干预前后两组患者自我效能感与健康宣教,分析不同程度自我效能感联合健康宣教对患者的影响。结果:干预后,观察组患者心理负担评分、服药总依从率、主观幸福感总评分、正性评分高于对照组(P<0.05),负性评分低于对照组(P<0.05)。经Pearson相关分析,显示自我效能感与健康宣教对患者心理负担总评分、服药总依从率及主观幸福感评分、正性因子均呈正相关,与负性因子呈负相关,且不同程度的自我效能感与健康宣教相关性不同。结论:增强自我效能感并强化健康宣教可有效提高急性冠脉综合征患者PCI术后心理健康水平,减少心理负担,同时显著提高抗血小板治疗依从性,提升患者主观幸福感。
Objective： To discuss the influence of self-efficacy combined with intensive health education and publicity on the psychological burden,drug compliance and subjective well-being of patients with acute coronary syndrome after percutaneous coronary intervention（ PCI）. Methods： Selected 186 patients with acute coronary syndrome and receiving PCI treatment in cardiovascular medicine department of our hospital from April 2014 to February 2016,and they were equally divided into observation group and control group at random,and within 1 year after discharge,patients in both groups received continued nursing,where patients in the control group received discharge guidance and health education and publicity,while patients in the observation group had their self-efficacy improved and received intensive health education and publicity. Psychological health continuum scale,8 medicine compliance scales and well-being scale of Memorial University of Newfoundland were used to evaluate the psychological burden,drug compliance and subjective well-being of patients in the two groups,and general self-efficacy was used to evaluate the self-efficacy and health education and publicity of patients in the two groups before and after intervention,and the influence of different degrees of self-efficacy combined with health education and publicity on the patients was analyzed. Results： After intervention,the score of psychological burden,overall drug compliance rate,score of subjective well-being and positive scores of patients in the observation group were higher than those of the patients in the control group（ P〈0. 05） while the negative scores were lower than those of patients in the control group（ P〈0. 05）. Pearson correlation analysis showed that the self-efficacy and health education and publicity were of positive correlation with the total score of psychological burden,overall drug compliance rate,scores of subjective well-being and positive factors of patients and they were of negative correlation with the negative factors,and different degrees of self-efficacy and health education and publicity had different correlations.Conclusion： Strengthening self-efficacy and enhancing health education and publicity could effectively improve the psychological health of patients with acute coronary syndrome after PCI surgery,reduce their psychological burden,while significantly improving the compliance of antiplatelet therapy and increasing the patients＇ subjective well-being.
出处
《护理实践与研究》
2017年第17期26-29,共4页
Nursing Practice and Research
关键词
自我效能
健康宣教
急性冠脉综合征
PCI术
Self- efficacy
Health education and publicity
Acute coronary syndrome
Percutaneous coronary intervention
