基于保护动机理论的干预在老年冠心病患者中的应用

Application of intervention based on protection motivation theory in elderly patients with coronary heart disease

目的探讨基于保护动机理论的干预在老年冠心病患者中的应用效果。方法采用目的抽样法,选取2018年1—12月在哈尔滨医科大学附属第二医院全科医疗科住院的老年冠心病患者为研究对象。将2018年1—6月住院的56例患者设为对照组,2018年7—12月住院的61例患者设为试验组。对照组采用老年冠心病患者常规护理措施,试验组采用保护动机理论进行干预。采用冠心病自我管理量表(CSMS)、一般自我效能感量表(GSES)比较干预的效果。结果干预后试验组患者CSMS各维度得分均高于对照组,差异有统计学意义(P<0.05)。干预后两组患者GSES得分差异无统计学意义(P>0.05)。结论依据保护动机理论制定的干预措施能够提高老年冠心病患者的自我管理行为,但对患者自我效能的影响还需进一步扩大样本量进行研究。

Objective To explore the effect of intervention based on the protection motivation theory(PMT)in elderly patients with coronary heart disease.Methods By purposive sampling,the elderly patients with coronary heart disease who were hospitalized in Department of General Medicine of the Second Affiliated Hospital of Harbin Medical University from January to December of 2018 were selected as the research objects.The 56 patients admitted from January to June of 2018 were taken as the control group and 61 patients admitted from July to December of 2018 were taken as the observation group.The control group was given routine nursing intervention for elderly coronary heart disease patients while the observation group was adopted the nursing intervention based on PMT.Coronary Self-management Scale(CSMS),General Self-efficacy Scale(GSES)were used to compare the intervention effect.Results After intervention,the patients in the observation group scored higher than the control group in all dimensions of CSMS,with statistical significance(P<0.05).After intervention,there was no statistical difference between the two groups in the scores of GSES(P>0.05).Conclusions PMT-based nursing intervention measures can improve the elderly coronary heart disease patients'self-management behavior,but furthermore enlarged sample is needed for further investigation about the effect on patients'self-efficacy.