护理随访路径对内窥镜辅助采集大隐静脉冠状动脉旁路移植术后患者自我效能及自护能力的影响

Effect of nursing follow-up path on self-efficacy and self-care ability of endoscopically assisted patients with great saphenous vein bypass grafting

目的探讨护理随访路径对内窥镜辅助采集大隐静脉冠状动脉旁路移植术后患者自我效能及自护能力的影响.方法将120例冠心病患者按照随机数字表法分为两组,各60例.两组均行内窥镜辅助采集大隐静脉冠状动脉旁路移植术,均给予常规护理干预,观察组在此基础上实施护理随访路径干预.干预前后采用一般自我效能感量表评定两组患者的自我效能感,采用自我护理能力量表评定两组的自护能力,采用西雅图心绞痛量表评定两组的生活质量,采用自制护理随访满意度问卷评定两组护理随访满意度.结果干预后两组一般自我效能感量表评分及西雅图心绞痛量表各项评分均较干预前显著升高(P<0.01),观察组较对照组升高更显著(P<0.01).干预后观察组自我护理能力量表各项评分及总分均显著高于干预前(P<0.01),且显著高于对照组(P<0.05或0.01),对照组自护责任感、健康知识水平评分及总分显著高于干预前(P<0.05或0.01).观察组护理随访满意率显著高于对照组(P<0.05).结论护理随访路径能显著提高内窥镜辅助采集大隐静脉冠状动脉旁路移植术后患者的自我效能感和自护能力,改善生活质量,提高护理满意度.

Objective To investigate the effect of nursing follow-up path on self-efficacy and self-care abili-ty of endoscopically assisted patients with great saphenous vein bypass grafting.Methods A total of 120 patients with coronary heart disease were divided into two groups according to the random number table method,60 cases each.Endoscopically assisted great saphenous vein bypass graf ting was performed in both groups.The control group received routine nursing intervention,and the observation group per-formed nursing follow-up path intervention on the basis of the control group.GSES was used to assess the self-efficacy of the two groups before and after the intervention.ESCA was used to assess the self-care a-bility of the two groups,and SAQ was used to assess the quality of life of the two groups.The self-care nursing follow-up satisfaction questionnaire was used to assess the satisfaction of the two groups.Results After intervention,the GSES scores and SA Q scores of the two groups were significantly higher than those before the intervention(P<0.01).The observation group increased more significantly than the con-trol group(P<0.01).After intervention,the ESCA scores and to tal scores of the observation group were significantly higher than those before the intervention(P<0.01),and significantly higher than the control group(P<0.05 or 0.01).The self-care responsibility,health know ledge level score and total score of the control group were significantly higher than those before the intervention(P<0.05 or 0.01).The satis-faction rate of nursing follow-up in the observation group was significantly higher than that in the control group(P<0.05).Conclusions Nursing follow-up path intervention for endoscopically assisted patients with saphenous vein coronary artery bypass graf t-ing can improve patient self-efficacy and satisfac-tion with nursing follow-up,and improve patient quality of life.