病友支持联合同伴教育对不稳定型心绞痛患者PCI术后自我管理行为的影响

The Effect of Patient Support combined with Peer Education on the self-management Behavior of Patients with unstable Angina after PCI

目的探究病友支持联合同伴教育护理对不稳定型心绞痛(UAP)患者经皮冠状动脉介入(PCI)术后自我管理行为的影响。方法前瞻性选取郑州市第七人民医院88例UAP患者(2017年1月至2020年12月)为研究对象,依照电脑随机数字表法以1:1比例将研究对象分成两组(n=44)。两组均进行PCI术,术后对照组接受常规护理干预,观察组在上述基础上进行病友支持联合同伴教育护理干预。比较两组干预前、干预3个月总体幸福感量表(GWBS)、西雅图心绞痛量表(SAQ)、冠心病自我管理行为量表(CSMS)评分、生活质量(GQOL-74)、焦虑(HAMA)、抑郁情绪(HAMD)、护理满意度。结果干预3个月观察组GWBS、GQOL-74评分较对照组高,HAMD、HAMA较对照组低(P<0.05);干预3个月观察组各项机体功能状态较对照组优(P<0.05);干预3个月观察组CSMS评分较对照组高(P<0.05);两组护理满意度比较,观察组97.73%高于对照组81.82%(P<0.05)。结论病友支持联合同伴教育护理应用于UAP患者PCI术后可有效提高总体幸福感,优化机体各项功能状态,提升自我管理行为,减轻患者负性情绪,同时可提高生活质量及护理满意度。

Objective To explore the effect of patient support combined with peer education on self-management behavior of patients with unstable angina pectoris(UAP)after percutaneous coronary intervention(PCI).Methods A total of 88 UAP patients(January 2017~December 2020)from the seventh people’s Hospital of Zhengzhou were randomLy divided into 2 groups(N=44)according to the ratio of 1∶1.PCI was performed in both groups,routine nursing intervention was performed in the control group,and nursing intervention was carried out in the observation group.The scores of GWBS,SAQ,CSMS,quality of life(GQOL-74),HAMA,HAMD and satisfaction with nursing were compared between the two groups before and 3 months after the intervention.Results The scores of GWBS and GQOL-74 in the 3-month intervention group were higher than those in the control group,and the scores of HAMD and HAMA were lower than those in the control group(P<0.05).The functional status of the observation group was better than that of the control group after 3 months of intervention(P<0.05).The CSMS score of the observation group was higher than that of the control group(P<0.05),and the nursing satisfaction of the observation group was 97.73%higher than that of the control group(81.82%,P<0.05).Conclusion The application of patient support combined with peer education in patients with UAP after PCI can effectively improve the overall well-being,optimize the body’s various functional states,improve self-management behavior,and reduce patients’negative emotions,at the same time,it can improve the quality of life and nursing satisfaction.