基于正强化理论的护理干预在急性心肌梗死PCI术后患者中的应用

Effects of nursing based on positive reinforcement theory in patients with acute myocardial infarction after PCI

目的探讨基于正强化理论的护理干预在急性心肌梗死(AMI)经皮冠状动脉介入术(PCI)术后患者中的应用效果。方法采用便利抽样法,选取2018年7月—2019年6月南京医科大学附属淮安第一人民医院收治的AMI PCI术后患者107例为研究对象,按照随机数字表法将其分为试验组(54例)和对照组(53例)。对照组给予常规护理干预,试验组在对照组基础上联合应用基于正强化理论的护理干预。干预前、随访6个月时,比较两组患者自我管理能力量表、PCI术后生活质量量表评分。结果随访6个月时,试验组患者自我管理能力量表、PCI术后生活质量量表总分及各维度评分均高于对照组,差异有统计学意义(P<0.05)。结论基于正强化理论的护理干预应用于AMI PCI术后患者中,有利于提高患者自我管理能力,改善患者生活质量。

Objective To explore the effect of nursing based on positive reinforcement theory in patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI).Methods From July 2018 to June 2019,convenience sampling was used to select 107 AMI patients after PCI in the Affiliated Huaian First People's Hospital of Nanjing Medical University as the research object.The patients were divided into the experimental group(54 cases)and the control group(53 cases)according to the random number table method.The control group was given routine nursing,and the experimental group received nursing based on positive reinforcement theory on the basis of the control group.Before the intervention and after 6 months of follow-up,the scores of the Self-management Scale for Patients Undergone Coronary Artery Stent Implantation and the Coronary Revascularization Outcome Questionnaire(CROQ)were compared between the two groups.Results After 6 months of follow-up,the total score and each dimension scores of the Self-management Scale for Patients Undergone Coronary Artery Stent Implantation,CROQ of the patients in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions Nursing based on positive reinforcement theory is applied to AMI patients after PCI,which is beneficial to improve patients'self-management ability and improve their quality of life.