护理质量持续改进模式对高血压合并冠心病患者心绞痛发作及自我效能的影响

Effect of continuous improvement model of nursing quality on angina pectoris and self-efficacy in patients with hypertension complicated with coronary heart disease

目的:探讨护理质量持续改进模式对高血压合并冠心病患者心绞痛发作及自我效能的影响。方法:选取84例高血压合并冠心病患者为研究对象,依据护理干预方式不同分为对照组和观察组,每组各42例。对照组患者采用常规护理干预;观察组患者采用常规护理+护理质量持续改进模式护理干预,两组均干预3个月。比较两组患者干预前后心绞痛发作次数及发作持续时间、慢性病自我效能量表(CDSES)评分、血压变化、冠心病自我管理量表(CSMS)评分。结果:干预后,两组患者心绞痛持续时间及发作次数、舒张压及收缩压均降低(P<0.05),且观察组低于对照组(P<0.05);CDSES各项目评分、CSMS各维度评分均升高(P<0.05),且观察组高于对照组(P<0.05)。结论:在常规护理基础上加用护理质量持续改进模式护理,能减少高血压合并冠心病患者心绞痛发作次数及持续时间,改善患者血压,提高自我效能、遵医行为。

Objective:To explore the effect of continuous improvement model of nursing quality on angina pectoris attack and self-efficacy in patients with hypertension and coronary heart disease.Methods:84 patients with hypertension and coronary heart disease were selected as the research objects,they were divided into the control group and the observation group according to the different nursing intervention methods,with 42 cases in each group.The control group received routine nursing,and the observation group received routine nursing+nursing quality continuous improvement mode,both groups receiving 3 months of intervention.The number of angina pectoris attacks and duration of attacks,Chronic Disease Self Efficacy Scale(CDSES)score,blood pressure changes,and Coronary Heart Disease Self Management Scale(CSMS)score were compared between the two groups before and after intervention.Results:The angina duration and frequency of angina attacks,diastolic blood pressure and systolic blood pressure decreased in both groups before and after intervention,and the observation group was lower than the control group(P<0.05).The scores of all CDSES items and CSMS dimensions increased(P<0.05),and the observation group was higher than the control group(P<0.05).Conclusion:Applying the continuous improvement model of nursing quality to the nursing of patients with hypertension and coronary heart disease can significantly reduce the incidence of angina pectoris,improve the blood pressure of patients,and improve the self-efficacy and compliance behavior.