行动研究法干预结合个体化健康教育对老年冠心病PCI术后患者的应用价值

The application value of an action research method intervention combined with individualised health education in postoperative PCI elderly patients with coronary artery disease

目的:探讨行动研究法干预结合个体化健康教育在老年冠心病经皮冠状动脉介入(PCI)术后患者的应用价值。方法:将老年冠心病PCI术后患者76例按随机数字表法分为对照组(n=38)和观察组(n=38)。对照组采用常规护理,观察组采用行动研究法干预结合个体化健康教育,两组均干预12周。对比分析两组健商水平、心功能、负性情绪、生活质量。结果:干预后,观察组健商指数简易测评表中各维度评分及总分、左室射血分数(LVEF)、生活质量综合评定问卷(GQOLI-74)中各维度评分高于对照组,焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组(均P<0.05)。结论:行动研究法干预结合个体化健康教育能够有效改善老年冠心病PCI术后患者心功能,缓解其负性情绪,提高健商水平及生活质量。

Objective:To explore the application value of action research method intervention combined with individualised health education in elderly patients with coronary heart disease undergoing percutaneous coronary intervention(PCI).Methods:Seventy-six cases of the patients were divided into a control group(n=38)and an observation group(n=38)according to the method of randomised numerical table.The control group underwent conventional nursing care,while the observation group underwent the action research method intervention combined with individualised health education,and the intervention was lasted for 12 weeks.The health quotient level,cardiac function,negative emotion and quality of life were compared between the two groups and analyzed.Results:After the intervention,the scores of the dimensions and total scores of the IQ index,left ventricular ejection fraction(LVEF),and the scores of the dimensions of generic quality of life inventory 74(GQOLI-74)were higher and the scores of the self-rating anxiety scale(SAS)and the self-rating depression scale(SDS)were lower in the observation group than the control group(all P<0.05).Conclusion:The action research method intervention combined with individualised health education can effectively improve the cardiac function of elderly patients with coronary artery disease after PCI and the level of health quotient and quality of life and alleviate their negative emotions.