基于CITF的护理干预对冠心病PCI患者心理弹性及自我管理行为的影响

Effect of CITF based nursing intervention on psychological resilience and self-management behavior of coronary heart disease patients undergoing PCI

目的探讨基于慢性疾病轨迹框架(CITF)的护理干预对冠心病经皮冠状动脉介入治疗(PCI)患者心理弹性及自我管理行为的影响。方法选取2021年6月—2022年6月收治的冠心病PCI患者92例为研究对象,按照组间基本特征具有可比性的原则将患者分为观察组和对照组,各46例。对照组行常规护理,观察组实施基于CITF的护理干预,比较两组干预前后心理弹性、自我管理行为及生活质量改善情况,并记录随访6个月两组主要不良心脏事件(MACE)。结果两组患者护理干预后,观察组心理弹性评分、自我管理行为评分及西雅图心绞痛量表(SAQ)评分高于对照组,差异有统计学意义(P<0.05);而观察组MACE发生率低于对照组,差异有统计学意义(P<0.05)。结论基于CITF的护理干预能有效提升冠心病PCI患者心理弹性及自我管理行为,从而有效降低患者PCI术后MACE发生率,改善患者生活质量。

Objective To explore the effect of chronic illness trajectory framework(CITF)based nursing intervention on psychological resilience and self-management behavior of coronary heart disease patients undergoing percutaneous coronary intervention(PCI).Methods To select 92 patients with coronary heart disease treated with PCI from June 2021 to June 2022 as the research subjects,the patients were divided into an observation group and a control group based on the principle of comparability of basic characteristics between groups,with 46 patients in each group.The control group received routine care,while the observation group received CITF based nursing intervention.The improvement of psychological resilience,self-management behavior,and quality of life before and after the intervention was compared between the two groups,and the major adverse cardiac events(MACE)of the two groups was recorded and followed up for 6 months.Results After nursing intervention,the psychological resilience score,self-management behavior score,and Seattle angina questionnaire(SAQ)score in the observation group were higher than those in the control group,and the diff erences were statistically signifi cant(P<0.05).The incidence of MACE in the observation group was lower than that in the control group,and the diff erence was statistically signifi cant(P<0.05).Conclusion Nursing interventions based on CITF can effectively improve the psychological resilience and self-management behavior of patients with coronary heart disease undergoing PCI,thereby effectively reducing the incidence of MACE after PCI and improving their quality of life.