摘要
目的探讨讲解-模拟-练习-沟通-支持（ESPCS）护理服务在冠心病临床护理中的应用效果，评价其对患者生活质量和自我管理能力的影响作用。方法收集90例冠心病患者随机分为观察组和对照组各45例，对照组给予冠心病常规护理，观察组在此基础上实施ESPCS护理服务，观察两组护理干预效果。结果观察组干预后生活质量评价量表（SF-36）各维度评分：躯体功能（92．7±8．1）、社会功能（89．7±8．0）、身体疼痛（88．5±6．1）、情绪健康（94.3±6．5）、总体健康水平（88．9±6．4）显著高于对照组的（77．5±6．4）、（76．4±5．6）、（72．3±4．7）、（76．5±5．4）、（72．4±5．4），差异有统计学意义（P〈0．05）；冠心病自我管理行为量表（CSMS）各维度评分：症状管理（15．7±4．9）、情绪认知管理（22.3±3．7）、急救管理（16．7±3．5）、依从性管理（15．4±2．8）显著高于对照组的（11．3±3．4）、（17．0±2．6）、（12．3±2．1）、（11．7±1．6），差异有统计学意义（P〈0．05）。结论ESPCS护理服务能够提高冠心病患者生活质量和自我管理能力，应用效果显著值得推广使用。
Objective To explore the application effect of Explain-Simulate-Practice-Communication- Support （ESPCS） nursing service in clinical nursing for coronary heart disease, evaluate its impact on quality of life and self-management ability of patients. Methods 90 patients with coronary heart disease were randomly divided into the observation group and the control group, with 45 cases in each group. The control group was given routine nursing, and the observation group was given ESPCS nursing on the basis of the control group. The nursing effect of the two groups were observed. Results After the intervention, the scores of physical function, social function, bodily pain, mental health, and general health of SF-36 scale of the observation group [（92.7±8.1）, （89.7±8.0）, （88.5±6.1）, （94.3±6.5）, （88.9±6.4）] were significantly higher than those of the control group [（77.5±6.4）, （76.4±5.6）, （72.3±4.7）, （76.5±5.4）, （72.4±5.4）], with statistically significant differences （P〈0.05）; the scores of symptom management, cognitive emotion management, emergency management, and compliance management of CSMS scale of the observation group [（t5.7±4.9）, （22.3±3.7）, （16.7±3.5）, （15.4±2.8）] were significantly higher than those of the control group [（11.3±3.4）, （17.0±2.6）, （12.3±2.1）, （11.7± 1.6）], with statistically significant differences （P〈0.05）. Conclusion ESPCS nursing can improve the quality of life and self-management ability of patients with coronary heart disease, with remarkable application effect, and is worth popularizing.
作者
张旭
ZhangXu(Diagnosis and Treatment Department, First Social Welfare Institute of Dandong Ci~ Dandong 118000, China)
出处
《国际医药卫生导报》
2018年第5期781-783,共3页
International Medicine and Health Guidance News
关键词
ESPCS护理
冠心病
生活质量
自我管理
Explain-Simulate-Practice-Communication-Support nursing
Coronary heart disease
Quality of life
Self-management
