五心护理服务配合追踪管理对病毒性心肌炎患者心理状态及治疗依从性的影响

Effects of five-heart nursing service combined with tracking management on psychologicalstate and treatment compliance in patients with viral myocarditis

目的:探讨五心护理服务配合追踪管理对病毒性心肌炎患者心理状态及治疗依从性的影响。方法:某院于2021年1月开始实施五心护理服务,将实施前(2018年3月-2020年12月)常规护理干预+追踪管理的病毒性心肌炎患者61例纳入B组,将实施后(2021年1月-2023年7月)常规护理干预+追踪管理+五心护理服务的病毒性心肌炎患者65例纳入A组,持续干预1个月,比较两组服药依从性和生活方式依从性、自护能力[自我护理能力测定量表(ESCA)]、健康行为[健康促进生活方式量表(HPLPⅡ)]、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]以及并发症发生情况。结果:A组用药依从率、饮食控制率、戒烟戒酒、适量运动率均高于B组(χ^(2)=6.476,5.041,4.234,4.950;P<0.05);A组干预后自护ESCA量表中自我概念、自我责任、自我护理技能、健康知识水平维度及量表总分高于B组(t=6.646,3.714,7.102,5.761,8.139;P<0.05);A组干预后健康行为HPLP-Ⅱ量表营养、运动锻炼、压力管理、人际关系、自我实现、健康责任维度及量表总分高于B组(t=2.928,4.460,2.272,2.588,3.652,4.864;P<0.05);A组干预后心理状态SAS、SDS评分低于B组(t=5.952,4.215;P<0.05);A组、B组并发症发生率分别为12.31%、18.03%,两组比较差异无统计学意义(χ^(2)=0.805,P>0.05)。结论:五心护理服务配合追踪管理可提高病毒性心肌炎患者治疗依从性,提升其自护能力,促进健康行为的形成,减轻患者不良心理情绪。

Objective:To explore the effects of five-heart nursing service combined with tracking management on psychological state and treatment compliance in patients with viral myocarditis.Methods:The five-heart nursing service was implemented in the hospital from January 2021 on.The 61 patients with viral myocarditis given routine nursing intervention+tracking management were enrolled as group Bbefore implementation(between March 2018 and December 2020),while 65 patients with viral myocarditis given routine nursing intervention+tracking management+five-heart nursing service were enroll as group Aafter implementation(between January 2021 and July 2023).All were continuously intervened for 1 month.The medication compliance,lifestyles compliance,self-care ability[exercise of self-care agency scale(ESCA)],health behaviors[health promoting lifestyle profile Ⅱ(HPLP Ⅱ)],psychological state[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]and the occurrence of complications were compared between the two groups.Results:The medication compliance rate,diet control rate,incidence of abstaining from tobacco and drink,and moderate exercise rate in group A were 96.92%,89.23%,93.85% and 81.54%,higher than those in group B(χ^(2)=6.476,5.041,4.234,4.950;P<0.05).After intervention,scores of self-concept,self-responsibility,self-care skills and health knowledge level,and total score of ESCA in group A were higher than those in group B(t=6.646,3.714,7.102,5.761,8.139;P<0.05).After intervention,scores of nutrition,exercise,stress management,interpersonal relationship,self-actualization and health responsibility,and total score of HPLP Ⅱ in group A were,higher than those in group B(t=2.928,4.460,2.272,2.588,4.864;P<0.05).After intervention,scores of SAS and SDS in group A were,lower than those in group B(t=5.952,4.215;P<0.05).There was no significant difference in the incidence of complications between group A and group B(P>0.05).Conclusion:Five-heart nursing service combined with tracking management can improve treatment compliance and self-care ability,promote the formation of healthy behaviors and alleviate adverse psychological emotions in patients with viral myocarditis.