延续性自我管理教育对冠心病介入治疗患者生活质量的影响

The Effect of Continuous Self-management Education on the Quality of Life of Patients with Coronary Heart Disease Interventional Therapy

目的研究延续性自我管理教育对冠心病介入治疗患者生活质量的影响。方法选取2019年3月~2020年3月我院行冠心病介入治疗的86例患者为研究对象,采用随机数字表法分为对照组和观察组,各43例。对照组采用常规护理,观察组在对照组基础上给予延续性自我管理教育,比较两组干预后生活质量(SF-36)评分、自我护理能力评分、健康行为评分、遵医行为评分以及护理满意度。结果观察组SF-36各维度量评分均高于对照组,差异有统计学意义(P<0.05);观察组自护技能、自护责任感、自我概念、自我疾病健康知识评分均高于对照组,差异有统计学意义(P<0.05);观察组健康行为评分高于对照组,差异有统计学意义(P<0.05);观察组患者遵医嘱用药、按时复查、配合护理评分均高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为95.34%,高于对照组的81.39%,差异有统计学意义(P<0.05)。结论延续性自我管理教育可改善冠心病介入治疗患者生活质量,提升自我护理能力,培养其健康行为,提高遵医行为和护理满意度,促进临床疾病的治疗和护理,为远期疗效奠定基础。

Objective To study the effect of continuous self-management education on the quality of life of patients with coronary heart disease interventional therapy.Methods 86 patients who underwent interventional treatment of coronary heart disease in our hospital from March 2019 to March 2020 were selected as the research objects,and were divided into control group and observation group by random number table method,with 43 cases in each group.The control group was given routine nursing care,and the observation group was given continuous self-management education on the basis of the control group.The quality of life(SF-36)score,self-care ability score,health behavior score,compliance behavior score,and nursing satisfaction were compared between the two groups after intervention.Results The scores of all dimensions of SF-36 in the observation group were higher than those in the control group,the difference was statistically significant(P<0.05);The observation group's self-care skills,self-care responsibility,self-concept,self-disease health knowledge scores were higher than those of the control group,the difference was statistically significant(P<0.05);The health behavior score of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05);The patients in the observation group had higher scores on medications prescribed by doctors,rechecked on time,and coordinated nursing care than those in the control group,the difference was statistically significant(P<0.05);The nursing satisfaction rate of the observation group was 95.34%,which was higher than 81.39%of the control group,the difference was statistically significant(P<0.05).Conclusion Continuous self-management education can improve the quality of life of patients undergoing interventional therapy for coronary heart disease,enhance their self-care ability,cultivate their health behaviors,improve compliance behavior and nursing satisfaction,promote the treatment and nursing of clinical diseases,and lay the foundation for long-term efficacy.