自我决定理论在冠心病病人PCI术后健康促进行为中的应用

Application of self-determination theory in health promoting behavior of patients with coronary heart disease after PCI

目的:探讨自我决定理论在冠心病病人经皮冠状动脉介入术(PCI)术后健康促进行为中的应用。方法:选取行PCI治疗的78例冠心病病人为研究对象,采用非同期对照,2020年1月至2021年1月的38例病人作为对照组,2021年2月至2022年4月的40例病人作为观察组,对照组采用常规护理干预,观察组采用基于自我决定理论的健康促进行为干预护理方案,采用健康促进生活方式量表Ⅱ(HPLP-Ⅱ)、简版冠心病教育问卷(CADE-Q SV)、西雅图心绞痛问卷(SAQ)进行干预效果评价。结果:干预4周及12周后,观察组HPLP-Ⅱ总分及其各维度得分和CADE-Q SV得分均高于对照组(P<0.05~P<0.01)。干预4周后,观察组SAQ总分、心绞痛发作和疾病认知度维度得分均高于对照组(P<0.05~P<0.01);干预12周后,观察组SAQ总分及其各维度得分均高于对照组(P<0.05~P<0.01)。结论:自我决定理论对冠心病病人PCI术后健康促进行为具有积极指导作用,可以提升病人术后健康促进行为水平、疾病知识水平,改善冠心病病人PCI术后生活质量。

Objective:To explore the application of self-determination theory in health promotion behavior of patients with coronary heart disease after PCI.Methods:Seventy-eight patients with coronary heart disease who received PIC treatment in the Department of Cardiovascular Medicine of our hospital were selected as the research object,and non-corresponding control group was used.Thirty-eight patients from January 2020 to 2021 were used as the control group,and 40 patients from February 2021 to April 2022 were used as the observation group,and the control group received routine nursing intervention.The experimental group adopted the health promoting behavior intervention nursing program based on self-determination theory.The intervention effect was evaluated by health promoting lifestyle scaleⅡ(HPLPⅡ),coronary heart disease education questionnaire and Seattle angina questionnaire(SAQ).Results:After 4 and 12 weeks of intervention,the total score of HPLP-Ⅱand the scores of its each dimension,the scores of CADE-Q SV in the observation group were higher than those in the control group(P<0.05 to P<0.01).After 4 weeks of intervention,the total score of SAQ,angina attack and disease awareness in the observation group were higher than those in the control group(P<0.05 to P<0.01);after 12 weeks of intervention,the total score of SAQ and the scores of its each dimension in the observation group were higher than those in the control group(P<0.05 to P<0.01).Conclusions:Self-determination theory has a positive role in guiding the health promoting behavior of patients with coronary heart disease after PCI.It can improve the level of health promoting behavior and disease knowledge of patients after PCI,and improve the quality of life of patients with coronary heart disease after PCI.