基于行动研究法构建的延续护理模式在冠心病患者中的应用

Application of continuous nursing model based on action research in patients with coronary heart disease

目的探究基于行动研究法构建的延续护理模式在冠心病患者中的应用效果。方法选取2021年3月至2022年1月浙江省湖州市第一人民医院收治的125例冠心病患者为研究对象,根据随机数字表法将其分为对照组61例和观察组64例。对照组给予常规护理,观察组采用基于行动研究法构建的延续护理模式。比较两组干预前后心功能、自我护理能力、治疗依从性、健商指数和生活质量。结果干预后,对照组左室射血分数(LVEF)、左室舒张末期内径(LEVDD)、左室收缩末期内径(LVESD)均低于干预前,观察组LEVDD、LVESD均低于干预前,LVEF高于干预前,且观察组LVEF高于对照组(P<0.05);两组自我护理能力评分、治疗依从性评分、治疗健商指数评分、中国心血管病人生活质量评定问卷评分均高于干预前,且观察组高于对照组(P<0.05)。结论基于行动研究法构建的延续护理模式可用于冠心病患者疾病管理,有助于改善患者心功能、自我护理能力、治疗依从性、健商指数和生活质量。

Objective To explore the application effect of continuous nursing model based on action research in patients with coronary heart disease.Methods A total of 125 patients with coronary heart disease treated in First People’s Hospital of Huzhou,Zhejiang Province from March 2021 to January 2022 were selected as the study objects.According to random number table method,they were divided into control group(61 cases)and observation group(64 cases).The control group was given routine nursing,and the observation group was given continuous nursing model based on action research.Cardiac function,self-care ability,treatment compliance,health quotient index,and quality of life were compared between the two groups before and after intervention.Results After intervention,left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LEVDD),and left ventricular end-systolic diameter(LVESD)in control group were all lower than those before intervention,LEVDD and LVESD in observation group were lower than those before intervention,LVEF in observation group was higher than that before intervention,and LVEF in observation group was higher than that in control group(P<0.05).The scores of self-care ability,treatment compliance,therapeutic health quotient index,and quality of life assessment questionnaire of Chinese cardiovascular patients in both groups were higher than those of before intervention,and those of the observation group were higher than those of the control group(P<0.05).Conclusion The continuous nursing mode based on action research can be used for coronary heart disease patients,which might improve patients’cardiac function,self-care ability,treatment compliance,health quotient index and quality of life.