IMCHB理论的护理干预策略在不稳定型心绞痛患者PCI术后的应用观察

Application Observation of IMCHB Theory-Based Nursing Intervention Strategy in Patients with Unstable Angina Pectoris After PCI

目的探讨基于健康行为互动理论(IMCHB)的护理干预策略对不稳定型心绞痛(UA)患者经皮冠状动脉介入术(PCI)后的应用效果。方法选取2020年1月至2021年1月南阳市卧龙区第一人民医院收治的105例UA患者作为研究对象,按照护理方案分为对照组(n=52)与试验组(n=53)。对照组接受常规护理,试验组接受IMCHB理论的护理干预策略。比较两组干预前后自我效能感[自我效能感评分(GSES)]、健康行为能力[健康行为能力自评量表(SRAHP)]、应对方式[简易应对方式量表(SCSQ)]及服药依从性[Morisky药物依从性量表(MMAS-8)]。结果干预后,试验组GSES评分、SRAHP评分高于对照组,差异有统计学意义(P<0.05)。干预后,试验组积极应对评分高于对照组,消极应对评分低于对照组,差异有统计学意义(P<0.05)。试验组服药依从率为94.34%(50/53),对照组为78.85%(41/52),试验组服药依从率高于对照组,差异有统计学意义(P<0.05)。结论IMCHB理论的护理干预策略可提高UA患者自我效能感,增强其健康行为能力,还能改善患者服药依从性,促使患者积极面对疾病。

Objective To explore the application effect of nursing intervention strategies based on the interaction model of client health behavior(IMCHB)on patients with unstable angina(UA)after percutaneous coronary intervention(PCI).Methods A retrospective collection of 105 UA patients in Wolong District First People’s Hospital of Nanyang City from January 2020 to January 2021 were grouped according to the different nursing plans.Fifty-two cases in the control group were treated with routine care,and 53 cases in the test group were treated with the nursing intervention strategy of IMCHB theory.The self-efficacy[general self-efficacy scale(GSES)],healthy behavior ability[self-rated abilities for health practices scale(SRAHP)],coping style[simplified coping style questionnaire(SCSQ)]and medication compliance[Morisky medication adherence scale-8(MMAS-8)]were compared between the two groups before and after the intervention.Results After the intervention,the GSES score and SRAHP score of the experimental group were higher than those of the control group(P<0.05).The positive response score of the experimental group was higher than the control group,and the negative response score was lower than the control group(P<0.05).The medication compliance rate of the experimental group was 94.34%(50/53),the medication compliance rate of the control group was 78.85%(41/52).The medication compliance rate in the experimental group was higher than in the control group,and the difference was statistically significant(P<0.05).Conclusion The nursing intervention strategy of IMCHB theory can improve the self-efficacy of patients with UA,enhance their healthy behavior ability,and improve the compliance of patients with medication,and encourage patients to actively face the disease.