叙事护理对冠心病支架植入术后患者的影响

Effect of Narrative Nursing in Patients with Coronary Heart Disease after Stent Implantation

目的:探讨叙事护理对冠心病支架植入术后患者的影响。方法:将86例冠心病支架植入患者按随机数字表法分为观察组和对照组各43例,对照组采用常规护理,观察组在此基础上实施叙事护理。比较两组护理前后恐惧疾病进展[采用中文版慢性病患者恐惧疾病进展简化量表(FoP-Q-SF)]、心理弹性[采用心理弹性量表简版(CD-RISC-10)]、自我护理能力[采用修正版自我护理能力量表(ASAS-R-C)],生活质量[采用西雅图心绞痛量表(SAQ)]。结果:护理后,两组FoP-Q-SF各维度得分及总分低于护理前(P<0.05),且观察组低于对照组(P<0.05);护理后,两组CD-RISC-10、ASAS-R-C各维度得分及总分均高于护理前(P<0.05),且观察组高于对照组(P<0.05);护理后,观察组SAQ中治疗满意度、疾病认知程度得分均高于对照组(P<0.05),躯体活动受限程度、心绞痛稳定状态、心绞痛发作情况得分与对照组比较差异无统计学意义(P>0.05)。结论:叙事护理应用于冠心病支架植入术后患者,能缓解患者对疾病进展的恐惧,提高心理弹性及自我护理能力,对改善生活质量有积极影响。

Objective:To explore the effect of narrative nursing in patients with coronary heart disease after stent implantation.Methods:A total of 86 patients with coronary heart disease who planned to receive stent implantation were divided into the observation group and the control group with 43 cases in each group according to the random number table method.The control group received routine nursing,and the observation group received narrative nursing on this basis.The fear of disease progression by the Chinese version of Fear of Progression Questionnaire-Short Form(FoP-Q-SF),psychological resiliebce by 10-item Connor-Davidson Resilience Scale(CD-RISC-10),self-care ability by Chinese version of Appraisal of Self-care Agency Scale-Revised(ASAS-R-C)and quality of life by Seattle Angina Questionnaire(SAQ)were compared between the two groups.Results:After nursing,the scores of dimensions and total score of FoP-Q-SF were lower in both groups than those before nursing(P<0.05),and lower in the observation group than those in the control group(P<0.05).After nursing,the scores of dimensions and total score of CD-RISC-10 and ASAS-R-C were higher in both groups than those before nursing(P<0.05),and higher in the observation group than those in the control group(P<0.05).After nursing,the scores of treatment satisfaction and disease cognition in the observation group were higher than those those in the control group(P<0.05),but there were no significant differences in the physical activity limitation,anginal stability and angina pectoris attack(P>0.05).Conclusion:Application of narrative nursing in patients with coronary heart disease undergoing stent implantation can alleviate the fear of disease progression and enhance the psychological resilience and self-care ability,and it has a positive impact on quality of life.