摘要
目的探讨信息-动机-行为技巧(IMB)护理在冠心病行经皮冠状动脉介入(PCI)术患者中的应用效果及对西雅图心绞痛量表(SAQ)评分的影响。方法选取2022年3月至2023年3月接受PCI治疗的60例冠心病患者为研究对象,以随机数字表法将其分为对照组和观察组,各30例。对照组给予常规护理,观察组在对照组基础上给予IMB护理。比较两组的护理效果。结果护理后,观察组的心理弹性量表(CD-RISC)各维度评分、冠心病自我管理量表(CSMS)评分高于对照组(P<0.05)。护理后,观察组的左心室舒张末期内径(LVEDD)小于对照组,左室射血分数(LVEF)、每搏输出量(SV)高于对照组(P<0.05)。护理后,观察组的SAQ量表各项评分高于对照组(P<0.05)。结论IMB护理不仅能够提高冠心病行PCI术患者的心理弹性及自我管理能力,还能改善其心功能,提升生活质量。
Objective To explore the application effect of information-motivation-behavioral skills(IMB)nursing in patients with coronary heart disease undergoing percutaneous coronary intervention(PCI)and its influence on Seattle Angina Questionnaire(SAQ)score.Methods Sixty patients with coronary heart disease who underwent PCI received from March 2022 to March 2023 were selected as the research objects.The patients were divided into control group and observation group by random number table method,with 30 cases in each group.The control group was given routine nursing,and the observation group was given IMB nursing on the basis of the control group.The nursing effects of the two groups were compared.Results After nursing,the scores of each dimension of Connor-Davidson Resilience Scale(CD-RISC)and Coronary Artery Disease Self-Management Scale(CSMS)in the observation group were higher than those in the control group(P<0.05).After nursing,the left ventricular end-diastolic diameter(LVEDD)in the observation group was less than that in the control group,and the left ventricular ejection fraction(LVEF)and stroke volume(SV)were higher than those in the control group(P<0.05).After nursing,the scores of each dimension of SAQ scale in the observation group were higher than those in the control group(P<0.05).Conclusion IMB nursing can not only enhance psychological resilience and self-management ability of patients with coronary heart disease undergoing PCI,but also improve cardiac function and elevate quality of life.
作者
韩笑
朱媛君
张乐乐
HAN Xiao;ZHU Yuanjun;ZHANG Lele(Xi'an Daxing Hospital,Xi'an 710016;the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China)
出处
《临床医学研究与实践》
2024年第30期105-109,共5页
Clinical Research and Practice
基金
陕西省重点研发计划项目(No.2020SF-219)。
关键词
冠心病
经皮冠状动脉介入
信息-动机-行为技巧
生活质量
coronary heart disease
percutaneous coronary intervention
information-motivation-behavioral skills
quality of life