格林模式对PCI术后服药依从性及生活质量的影响

Effect of Precede-Proceed mode on medication compliance,lifestyle and quality of life in patients after PCI

目的探讨格林模式对经皮冠状动脉介入术(PCI)后患者服药依从性及生活质量的影响。方法回顾性分析2016年1月～2017年6月收治的PCI术后患者120例临床资料,根据不同干预方法分为对照组64例和观察组56例。对照组采用常规护理干预,观察组在对照组基础上应用格林模式的护理干预,比较两组干预3个月后服药依从性、自我效能与家庭关怀、生活方式、生活质量,继续随访6个月记录患者预后情况。结果干预3个月后,观察组MMAS-8得分、GSEE、APGAR评分、GQOL1-74、SAQ评分均高于对照组(P<0.05);干预3个月后,两组自我实现、职业安全维度得分对比差异无统计学意义(P>0.05),观察组运动保健、均衡饮食人际支持维度得分均高于对照组(P<0.05);随访6个月,两组不良心血管事件发生率对比,差异无统计学意义(P>0.05)。结论格林模式应用于PCI术后患者护理干预效果良好,有利于改善患者服药依从性和生活质量的提高。

Objective To explore the effects of Precede-Proceed mode on medication compliance,lifestyle and quality of life in patients after percutaneous coronary intervention(PCI).Methods The clinical data of 120 patients after PCI treated from January 2016 to June 2017 were retrospectively analyzed,and patients were divided into control group(from January 2016 to October 2016,n=64)and observation group(From November 2016 to June 2017,n=56)according to the intervention method.Control group was given routine nursing intervention,and observation group was supplemented with Precede-Proceed mode nursing intervention on the basis of control group.The medication compliance[Morisky medication adherence scale(MMAS-8)],self-efficacy and family care[general self-efficacy scale(GSES),family care index(APGAR)],lifestyle[Chinese version of improved pender healthy lifestyle scale(hereinafter referred to as health behavior scale)],quality of life[GQOL1-74 Quality of Life Scale(GQOL1-74),Seattle Angina Questionnaire(SAQ)]were compared between the two groups after 3 months of intervention,and the prognosis was recorded after 6 months of followup.Results After 3 months of intervention,the scores of MMAS-8,GSEE,APGAR,GQOL1-74 and SAQ in observation group were higher than those in control group(P<0.05).After 3 months of intervention,there was no significant difference in the dimensions scores of self-realization and occupational safety between the two groups(P >0.05),and the scores of sports health,balanced dietary and interpersonal support in observation group were higher than those in control group(P<0.05).After 6 months of follow-up,the incidence rate of adverse cardiovascular events in the two groups was not statistically different(P >0.05).Conclusion Precede-Proceed mode for patients after PCI can have good nursing intervention,and it is beneficial to improve medication compliance and promote healthy life and quality of life.