延续护理对经皮冠状动脉支架植入术后患者自我护理能力和健康行为的影响

Effect of transitional care on self-care agency and healthy behaviors in patients treated by percutaneous coronary intervention

目的分析延续护理对经皮冠状动脉支架植入术(PCI)后患者的自我护理能力及健康行为的影响。方法选取在我院实施PCI的患者,采用随机数字表法分为观察组(n=69)和对照组(n=67),观察组通过追踪随访,用电话和家访的方式施以延续护理,以自我护理能力测定表与健康行为量表,评价出院6个月及12个月时两组患者的自我护理能力及健康行为的改善情况。结果干预1年后观察组的自我护理能力及健康行为方面均优于对照组,差异有统计学意义(P<0.05)。经重复测量方差分析,不同时间及组间评分比较,差异有统计学意义(P<0.05)。结论延续护理明显提升患者的自我护理能力及健康行为,从而形成有效的自我管理能力。

Objective To evaluate the effect of transitional care on self-care agency and healthy behaviors in patients treated by percutaneous coronary intervention（PCI）. Methods Totally 140 patients treated by PCI were randomly divided into experimental group（n=69） and control group（n=67）. The patients in the experimental group received transitional care by tele- phone and home follow-up visits. All patients were investigated with exercise of self-care agency scale（ESCA） and health promo- ting lifestyle profile（HPLP） at 6 months and 12 months after discharge. Results Repeated measures ANOVA revealed signi- ficant group main effect and time effect on the scores of self-efficacy and health-promoting lifestyle（P〈0.05）. The patients＇ self- care agency and healthy behaviors were significantly better than the control group at 12 months after discharge（P〈0.05）. Conclusion Transitional care can effectively improve the self-care agency and healthy behaviors in patients treated by PCI.