共享决策护理在冠心病PCI术后患者中的应用效果及对机体状态的影响

Application effect of shared decision-making nursing in patients with coronary heart disease after PCI and its influence on body state

目的探讨共享决策护理在冠心病经皮冠状动脉介入治疗(PCI)术后患者中的应用效果及对机体状态的影响。方法选取2021年7月至2022年7月接受PCI治疗的80例冠心病患者为研究对象,运用随机数字表法将其分为对照组、观察组,各40例。对照组接受常规护理,观察组接受共享决策护理。比较两组的健康行为、依从性及机体状态。结果护理后,观察组的健康行为量表(HPL)各维度评分均高于对照组,差异具有统计学意义(P<0.05)。护理后,观察组的通用依从性量表(GAS)各维度评分均高于对照组,差异具有统计学意义(P<0.05)。护理后,观察组的西雅图心绞痛量表(SAQ)各维度评分均高于对照组,差异具有统计学意义(P<0.05)。结论共享决策护理可提升冠心病PCI术后患者的依从性,提升健康行为改善效果,进而改善机体状态。

Objective To explore the application effect of shared decision-making nursing in patients with coronary heart disease after percutanous coronary intervention(PCI)and its influence on body state.Methods A total of 80 patients with coronary heart disease who underwent PCI from July 2021 to July 2022 were selected as the research objects,and the patients were divided into control group and observation group by random number table method,with 40 cases in each group.The control group received routine nursing,and the observation group received shared decision-making nursing.The health behavior,compliance and body state of the two groups were compared.Results After nursing,the scores of each dimension of Health Promotion Lifestyle Profile(HPL)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of each dimension of the General Adherence Scale(GAS)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of each dimension of Seattle Angina Questionnaire(SAQ)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Shared decision-making nursing can elevate the compliance of patients with coronary heart disease after PCI,enhance the improvement effect of health behavior,and then improve the body state.