个体化自我容量管理结合信息-动机-行为技巧模型对老年冠心病心绞痛患者疾病自我感受负担、心功能指标及自我效能感的影响

Effects of individualized self-capacity management combined with information-motivation-behavioral skills model on disease self-perceived burden, cardiac function indexes and self-efficacy in elderly patients with coronary heart disease and angina pectoris

目的探讨个体化自我容量管理结合信息-动机-行为技巧模型在老年冠心病心绞痛患者中的应用效果。方法选取2020年5月至2021年5月我院收治的90例老年冠心病心绞痛患者作为研究对象,以随机数字表法将其分为对照组和观察组,各45例。对照组施以常规护理干预,观察组在对照组基础上施以个体化自我容量管理结合信息-动机-行为技巧模型干预。比较两组的干预效果。结果干预后,观察组的情感负担、身体负担及经济负担评分低于对照组(P<0.05)。干预后,观察组的左室射血分数(LVEF)高于对照组,左室舒张末期内径(LVEDD)及左室收缩末期内径(LVESD)小于对照组(P<0.05)。干预后,观察组的症状管理、共性管理评分高于对照组(P<0.05)。结论个体化自我容量管理结合信息-动机-行为技巧模型在老年冠心病心绞痛患者中的应用效果显著,可减轻疾病自我感受负担,促进心功能改善,提高自我效能感。

Objective To explore the application effect of individualized self-capacity management combined with information-motivation-behavioral skills model in elderly patients with coronary heart disease and angina pectoris.Methods A total of 90 elderly patients with coronary heart disease and angina pectoris admitted in our hospital from May 2020 to May 2021 were selected as the research objects and divided into control group and observation group by random number table method,with 45 cases in each group.The control group was given routine nursing intervention,and the observation group was given individualized self-capacity management combined with information-motivation-behavioral skills model intervention on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of emotional burden,physical burden and economic burden in the observation group were lower than those in the control group(P<0.05).After intervention,the left ventricular ejection fraction(LVEF)of the observation group was higher than that of the control group,and the left ventricular end diastolic diameter(LVEDD)and left ventricular end systolic diameter(LVESD)were less than those of the control group(P<0.05).After intervention,the scores of symptom management and common management in the observation group were higher than those in the control group(P<0.05).Conclusion Individualized self-capacity management combined with information-motivation-behavioral skills model applied in elderly patients with coronary heart disease and angina pectoris has better effect,which can reduce the disease self-perceived burden,promote the improvement of cardiac function,and improve the self-efficacy.