聚焦解决模式护理干预在冠心病患者经皮冠状动脉介入术后的应用效果

Application Effect of Solution-Focused Approach Nursing Intervention in Patients with Coronary Heart Disease After Percutaneous Coronary Intervention

目的:探讨聚焦解决模式护理干预在冠心病患者经皮冠状动脉介入术后的应用效果。方法:选取2023年1—12月于济宁市第一人民医院心内科行经皮冠状动脉介入术的冠心病患者84例作为研究对象,根据随机数字表法分为对照组和干预组,各42例。对照组给予常规护理干预,干预组给予聚焦解决模式护理干预。比较两组护理效果。结果:干预前,两组冠心病自我管理量表(CSMS)评分比较,差异无统计学意义(P>0.05);干预1、3个月后,两组CSMS评分高于干预前,且干预组高于对照组,差异有统计学意义(P<0.05)。干预前,两组简版冠心病教育问卷(CADE-QSV)评分比较,差异无统计学意义(P>0.05);干预1、3个月后,两组CADE-QSV评分高于干预前,且干预组高于对照组,差异有统计学意义(P<0.05)。干预前,两组冠心病自我效能感量表(CSES)评分比较,差异无统计学意义(P>0.05);干预1、3个月后,两组CSES评分高于干预前,且干预组高于对照组,差异有统计学意义(P<0.05)。结论:聚焦解决模式护理干预在冠心病患者经皮冠状动脉介入术后的应用效果较好,能提高患者的自我管理能力、疾病认知度、自我效能。

Objective:To explore the application effect of solution-focused approach nursing intervention in patients with coronary heart disease after percutaneous coronary intervention.Methods:A total of 84 patients with coronary heart disease who underwent percutaneous coronary intervention in the Department of Cardiology of Jining No.1 People's Hospital from January 2023 to December 2023 were selected as the study subjects.They were divided into control group and intervention group according to random number table method,with 42 cases in each group.The control group was given routine nursing intervention,and the intervention group was given solution-focused approach nursing intervention.The nursing effect was compared between the two groups.Results:Before intervention,there was no significant difference in the scores of Coronary Artery Disease Self-Management Scale(CSMS)between the two groups(P>0.05).After 1 month and 3 months of intervention,the CSMS scores in the two groups were higher than those before intervention,the scores in the intervention group were higher than those in the control group,and the difference was statistically significant(P<0.05).Before intervention,there was no significant difference in the scores of Coronary Artery Disease Education Questionnaire-Short Version(CADE-QSV)between the two groups(P>0.05).After 1 month and 3 months of intervention,the CADE-QSV scores in the two groups were higher than those before intervention,the scores in the intervention group were higher than those in the control group,and the difference was statistically significant(P<0.05).Before intervention,there was no significant difference in the scores of Cardiac Self-Efficacy Scale(CSES)between the two groups(P>0.05).After 1 month and 3 months of intervention,the CSES scores in the two groups were higher than those before intervention,the scores in the intervention group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:The application of solution-focused approach nursing intervention has a good effect in patients with coronary heart disease after percutaneous coronary intervention,which can improve patients'self-management ability,disease awareness and self-efficacy.