以专科护士为主导的“1+1+X”协同管理模式对稳定型心绞痛患者病情、自我管理能力的影响分析

To Explore the Effect of the"1+1+X"Collaborative Management Model led by Specialized Nurses on the Condition and Self-management Ability of Patients with Stable Angina Pectoris

目的研究以专科护士为主导的“1+1+X”协同管理模式对稳定型心绞痛患者病情、自我管理能力的影响。方法方便选取2021年3月—2023年3月聊城市第二人民医院心血管内科收治的86例稳定型心绞痛患者为研究对象,根据不同护理方法分为常规组和协同管理组,各43例。常规组采用常规护理,协同管理组采用以专科护士为主导的“1+1+X”协同管理模式护理,两组均持续护理1个月。观察对比两组患者护理前后生活质量[健康调查简表(MOS Item Short Form Health Survey,SF-36)]、焦虑抑郁心理状况、自我管理能力[冠心病自我管理行为量表(Coronary Artery Disease Self-management Scale,CSMS)]。结果护理后,协同管理组SF-36量表评分高于常规组,差异有统计学意义(P<0.05);协同管理组焦虑自评量表(38.18±3.52)分、抑郁自评量表(39.21±3.24)分均优于常规组的(43.23±3.61)分、(45.03±3.69)分,差异有统计学意义(t=6.568、7.772,P均<0.05);协同管理组CSMS评分高于常规组,差异有统计学意义(P均<0.05)。结论以专科护士为主导的“1+1+X”协同管理模式应用于稳定型心绞痛患者护理可有效提升生活质量,改善不良心理状态,提高自我管理能力。

Objective To study the effect of"1+1+X"coordinated management mode led by specialist nurses on the condition and self-management ability of patients with stable angina pectoris.Methods A total of 86 patients with stable angina pectoris admitted to the cardiovascular department of Liaocheng Second People's Hospital from March 2021 to March 2023 were conveniently selected as the study objects.According to the different nursing methods,they were divided into routine group and cooperative management group,with 43 cases in each group.The routine group was treated with routine nursing,while the collaborative management group was treated with"1+1+X"collaborative management mode led by specialist nurses.Both groups received continuous care for 1 month.The quality of life[MOS Item Short Form Health Survey(SF-36)],psychological state of anxiety and depression,self-management ability[Coronary Artery Disease Self-Management Scale(CSMS)]were observed and compared between the two groups be-fore and after nursing.Results After nursing,the SF-36 score in the cooperative management group were higher than those in the conventional group,and the difference was statistically significant(P<0.05).The Self-rating Anxiety Scale(38.18±3.52)points,Self-rating Depression Scale(39.21±3.24)points of the cooperative management group were bet-ter than(43.23±3.61)points,(45.23±3.29)points of the conventional group,and the difference was statistically signifi-cant(t=6.568,7.772,both P<0.05).The CSMS score of the cooperative management group was higher than that of the conventional group,and the difference was statistically significant(P<0.05).Conclusion The application of"1+1+X"collaborative management mode led by specialist nurses in the nursing of patients with stable angina pectoris can ef-fectively improve the quality of life,improve the poor psychological state,and improve the ability of self-management.