Analysis of the Effect of Extended Rehabilitation Care at Home on the Psychological Condition and Adherence to Medical Compliance Behavior of Patients with Coronary Heart Disease Combined with Heart Failure

Objective:To analyze the effects of providing extended rehabilitation nursing services at home to patients with coronary heart disease(CHD)combined with heart failure(CHF)on psychological improvement and adherence to medical compliance behavior.Methods:79 patients with CHD with CHF admitted to Sijia Town Central Health Hospital,Haimen District,Nantong City,Jiangsu Province,between June 2021 and June 2023 were selected and grouped according to the randomized numerical table method.The control group(39 cases)was provided with conventional nursing care and extended rehabilitation nursing care at home was provided to the observation group(40 cases).The psychological status,adherence to medical behaviors,cardiac function,and complications between both groups were compared.Results:The scores of anxieties and depression self-assessment scales(SAS,SDS)of patients in the observation group were lower than those of the control group(t=2.954,3.212;P<0.05);the compliance of patients in the observation group was higher than that of the control group(P<0.05).The levels of left ventricular ejection fraction,end-systolic and end-diastolic internal diameters(LVEF,LVESD,LVEDD)of patients in the observation group at 58.02±5.34%,44.49±5.16 mm,and 49.16±5.76 mm respectively were better than those of the control group after nursing care(t=3.205,3.288,2.633;P<0.05);the complication rate of the observation group was lower than that of the control group(P<0.05).Conclusion:Extended rehabilitation nursing at home exhibited a psychological regulation effect on CHD with CHF patients,improved their medical compliance,improved cardiac function,reduced the incidence of complications,and had significant application value.

Influence of transitional nursing on the compliance behavior and disease knowledge of children with purpura nephritis

BACKGROUND Purpura nephritis,also called Henoch-Schönlein purpura nephritis,is a systemic disease with small dead vasculitis as the main pathological change.AIM To observe the influence of transitional nursing activities on the compliance behaviors and disease knowledge of children with purpura nephritis.METHODS A total of 82 children with purpura nephritis were included and divided into a general nursing group(41 children)and transitional nursing group(41 children)using the envelope method.The general nursing group received routine nursing care,while the transitional nursing group received transitional nursing care.The behaviors,knowledge of the disease,and self-management ability of the two groups were evaluated after nursing care was provided.RESULTS The scores of four items(self-care ability,self-responsibility,health knowledge level,and self-concept)in the transitional nursing group were significantly higher than those in the general nursing group.CONCLUSION Transitional nursing can directly improve the disease knowledge level and selfmanagement ability of children with purpura nephritis and effectively reduce complications.

Development and Influencing Factors of Compliance Behaviors of Investigators in Clinical Trials

The development and influencing factors of compliance behavior of investigators in clinical trials were explored. According to literature review, a hypothetical model of development of compliance behavior of investigators in clinical trials was established, and the influencing factors of compliance behavior of investigators and their interrelationships were studied based on questionnaire survey of five hundred investigators sampled randomly from one hundred clinical trial institutions in China. Cron- bach＇s alpha coefficient and structural equation modeling were adopted to empirically analyze the re- suits. Six variables in the hypothetical model were included： compliance behavior of investigators, credibility of clinical trial, capability of government regulation, quality control of sponsor, quality con- trol of clinical institution and compliance intention of investigators. Empirical analysis showed that the compliance behavior of investigators in clinical trial was directly affected by compliance intention of investigators, quality control of sponsor and quality control of clinical institution. In addition, credibility of clinical trial and capability of government regulation indirectly affected the compliance behavior of investigators in clinical trial through influencing the compliance intention of investigators, quality con- trol of sponsor and quality control of clinical institution. Quality control of sponsor was affected by credibility of clinical trial and capability of government regulation while quality control of clinical in- stitutinn wan only influenced by capability of government regulation.

Effect of Case Management Nursing Service on Compliance Behavior and Quality of Life of Patients with Pulmonary Tuberculosis

Objective:To explore the effect of case management nursing service on compliance behavior and quality of life of patients with pulmonary tuberculosis.Methods:69 cases of pulmonary tuberculosis patients in our hospital from September 2019 to August 2020 were selected as the research objects.The 69 patients were divided into study group(35 cases)and control group(34 cases).The compliance behavior,quality of life and nursing satisfaction of pulmonary tuberculosis patients were studied and analyzed.Results:The compliance rate of the control group was 82.35%,and that of the study group was 97.14%;The quality of life in the control group was[61.32±7.66],which was significantly lower than that in the study group[71.12±7.23];The satisfaction rate of the study group was 97.14%,which was significantly higher than 73.53%of the control group.Conclusion:In the treatment of tuberculosis patients,the use of case management nursing service can effectively improve the quality of life of patients,improve the compliance behavior of patients,and improve the treatment effect of patients,which is worthy of promotion.

Voluntary tax compliance behavior of individual taxpayers in Pakistan

Governments settle their financial obligations and pay for the public expenditures largely through finances generated from taxes.For many developing countries like Pakistan,the state authorities are still having difficulty to achieve tax compliance.Existing literature has yet to traverse individual’s tax compliance behavior on developing countries.The current study,however,explores the relationships among voluntary tax compliance behavior of individual taxpayers with selected economic,social,behavioral and institutional factors.This individual tax compliance behavior is studied through the multi-perspective lenses of the theory of attribution,equity theory,expected utility theory,and social exchange theory.Quantitative design using the survey method was employed to collect data from 435 individual taxpayers through questionnaire.For testing linkage between constructs,through mediation and moderation tests,structural equation modeling technique was used.The results suggest that tax compliance simplicity has a larger impact on tax filing than perception about Government Spending and tax morale.Furthermore,perception of fairness significantly mediates the strengths between morale,simplicity,government spending and compliance behavior.

Noncompliance Opportunities and Tax Compliance Behavior in Nigeria： The Moderating Effect of Taxpayers＇ Financial Condition and Risk Preference

In Nigeria, like some other developing countries, income tax administration is characterized by noncompliance problem and this has been hindering tax revenue performance. Although a number of factors may be responsible for such phenomenon, the literature has suggested that the relationship between tax compliance behavior and its determinants may be moderated by other factors. In order to account for situational and environmental peculiarity of Nigeria, this study extends tax compliance model to incorporate moderating effects of taxpayers＇ financial condition and risk preference. However, the study investigates the moderating effects of financial condition and risk preference on the relationship between noncompliance opportunity and tax compliance behavior. The study was conducted through a survey of individual taxpayers＇ opinions and the data collected were statistically treated using multiple regression technique. The study reveals among others that the effects of financial condition and risk preference significantly moderated the influences of taxpayers＇ source of income and occupation on tax compliance behavior. These findings pose some theoretical and policy implications.

认知行为联合预防性护理干预对冠心病患者PCI后焦虑抑郁及生活质量的影响

目的 分析冠心病患者接受经皮冠状动脉介入术(PCI)后身心状况,评价认知行为联合预防性护理干预的积极意义。方法选择我院2021年5月至2023年5月期间收治的PCI冠心病患者,总计80例。进行随机数字表法分组护理,对照组行常规护理,观察组配合认知行为+预防性护理干预,比较两组患者PCI术后焦虑抑郁、自护能力及生活质量情况,其中两组患者焦虑抑郁情况分别应用焦虑自评量表(SAS)、抑郁自评量表(SDS)进行评价;以自我护理能力实施量表(ESCA)对患者PCI术后自护能力进行评价;以健康调查简表(SF-36)对患者PCI术后生活质量进行评价。结果 PCI治疗后,观察组患者SAS评分(40.05±3.30)分、SDS评分(39.50±3.50)分均低于对照组(P <0.05);干预后观察组患者ESCA评分(130.50±4.50)分高于对照组(P <0.05);生活质量对比方面,观察组患者生理功能(75.50±6.50)分、生理职能(65.50±5.50)分、总体健康(60.50±5.30)分、躯体疼痛(68.80±4.50)分、精神健康(74.50±4.50)分、社会功能(80.50±5.50)分、情感职能(65.80±5.60)分、活力(78.70±6.50)分均高于对照组(P <0.05)。结论 对PCI治疗冠心病患者进行认知行为指导联合预防性护理干预,对患者预后康复有重要影响,可以显著降低患者不良情绪,提高自我护理能力,增强患者术后生活质量。

老年冠心病PCI术后患者应用HAPA护理模式的效果分析

目的:探讨老年冠心病经皮冠状动脉介入治疗(PCI)术后患者应用健康行动过程取向(HAPA)护理模式的效果。方法:选取104例老年冠心病PCI术后患者按照随机数字表法分为观察组和对照组各52例,对照组实施常规护理模式,观察组实施HAPA护理模式;比较两组干预前后冠心病自我管理量表(CSMS)、健康促进生活方式量表(HPLP-Ⅱ)、老年人体适能测试方法(SFT)评分。结果:干预后,两组CSMS、HPLP-Ⅱ评分高于干预前(P<0.05),且观察组高于对照组(P<0.05);干预后,两组SFT各项能力优于干预前(P<0.05),且观察组优于对照组(P<0.05)。结论:HAPA护理模式可提高老年冠心病PCI术后患者的自我管理能力,改善健康促进行为,调节体适能力。

跨理论模型及动机性访谈对PCI术后患者服药依从性的影响

目的:探讨跨理论模型和动机性访谈对经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)术后患者服药依从性的影响。方法 :选取100例PCI术后患者分为观察组(n=50)和对照组(n=50)两组。对照组给予常规护理干预,观察组给予跨理论模型和动机性访谈。比较两组服药依从性、6 min步行距离、主要心脏不良事件(major adverse cardiovascular events,MACE)发生率。结果 :干预后1、3个月及6个月,观察组服药依从性分级均显著提高,与对照组比较差异具有统计学意义(P<0.05)。观察组6 min步行距离显著提高,与对照组比较差异具有统计学意义(P<0.05)。观察组MACE发生率明显低于对照组(10.0%vs 36.0%),两组比较差异具有统计学意义(P<0.05)。结论:跨理论模型和动机性访谈可有效提高PCI术后患者服药依从性,促进术后康复,降低MACE发生率,值得临床推广使用。

延续性护理干预对急性心肌梗死患者PCI术后心理状态及服药依从性的影响

目的探讨对急性心肌梗死患者施以延续性护理干预后,观察其对PCI术后心理状态及服药依从性产生的影响。方法选择我院2014年3月~2016年4月收治的92例急性心肌梗死患者作为研究对象,所有急性心肌梗死患者通过数字奇偶法分组:对照组:PCI手术出院后施以常规门诊随访;观察组:PCI手术出院后施以延续性护理干预;最终对PCI术后心理状态差异及用药依从性差异进行回顾性分析。结果对患者施以为期1个月及1年随访后发现,观察组患者焦虑程度同对照组患者比较,差异有统计学意义(P<0.05);对患者施以为期1个月随访及1年随访后发现,观察组患者抑郁程度同对照组患者比较,差异有统计学意义(P<0.05);观察组患者服药依从性同对照组患者比较,差异有统计学意义(P<0.05)。结论对于急性心肌梗死患者在PCI手术出院后施以延续性护理干预,可缓解PCI术后抑郁焦虑情绪、提高服药依从性以及降低心血管事件出现概率,从而优化急性心肌梗死患者的生活能力。

冠心病PCI术后患者用药依从性的护理研究现状(综述)

该文综述了冠心病PCI术后患者用药依从性的现状,从建立良好护患关系、多种形式的健康教育、循证护理、纠正信念和态度、有效的家庭支持和身心健康管理系统6个方面,实施系统有效护理干预,提高冠心病PCI术后患者的用药依从性,减少心血管事件,提高患者生活质量,延长寿命。

急性冠脉综合征PCI术后患者健康管理对服药依从性影响的研究

目的提高急性冠脉综合征PCI术后患者的服药依从性。方法选取214例2010年1月至2012年1月急性冠脉综合征接受PCI治疗的患者作为研究对象,随机分为干预组(112例)和对照组(102例),对干预组通过健康档案管理、个体指导、健康教育等方法进行健康管理。采用我院设计的服药状况问卷进行调查。结果两组患者的服药依从性差异具有统计学意义(P<0.05)。结论对急性冠脉综合征PCI术后患者进行积极的健康管理,可以有效提高患者的服药依从性,进而降低PCI术后支架内血栓事件的发生率。

PCI术后冠心病患者他汀类药依从性分析

目的 了解冠心病患者PCI术后他汀类药用药情况及其与心血管系统症状再发的关系。方法 对 2 0 0 0年 3月～2 0 0 2年 12月因心肌梗死或心绞痛施行PCI术的患者进行电话或门诊随访。结论 相对于抗血小板药、β受体阻滞剂、血管紧张素转换酶抑制剂 (ACEl)来说 ,冠心病患者PCI术后对他汀类调脂药的依从性较差。坚持服药的患者心血管系统症状再发率较未坚持服药者低。

PCI术后患者服用氯吡格雷依从性调查分析

目的:探讨经皮冠状动脉介入治疗(PCI)术后患者服用氯吡格雷的依从性及其影响因素。方法:选取2015年5月至10月在某三甲医院成功实施PCI术后6个月服用氯吡格雷的患者91例。采取电话随访的方式进行调查,评估患者术后6个月服用氯吡格雷药物的依从性及其影响因素。所得数据均采用SPSS 18.0统计软件进行统计学处理。结果:在本次对91例PCI术后患者服用氯吡格雷依从性调查显示:有55例(60.4%)患者术后氯吡格雷依从性良好,有36例(39.4%)患者依从性差;在对影响患者服用氯吡格雷依从性相关因素的分析中显示:PCI术后患者性别(P=0.131)与依从性无显著相关性;PCI术后患者年龄(P=0.002),合并疾病(P=0.000),医疗付费方式(P=0.000)与患者服用氯吡格雷依从性有相关性。结论:PCI术后患者服用氯吡格雷依从性还有待提高;服用氯吡格雷药物依从性与患者的性别无关,而与患者的年龄、合并疾病、医疗付费方式有相关性。

循证护理对冠心病PCI术患者医嘱依从性及生存质量的影响

目的:探讨循证护理对冠心病PCI患者医嘱依从性及生存质量的影响。方法:将74例冠心病PCI患者随机分为干预组和对照组各37例,干预组应用循证护理,对照组实行常规护理。通过随访,分析、比较两组患者术后1年内医嘱依从性、不良反应和并发症发生率及术后3、6、12个月生存质量。结果:干预组术后1年内医嘱依从率均优于对照组(P<0.05,P<0.01),不良反应及并发症发生率均低于对照组(P<0.01),术后3、6、12个月生存质量均优于对照组(P<0.05)。结论:应用循证护理可提高冠心病PCI患者医嘱依从性,降低其不良反应及并发症发生率,提高患者生存质量。

PCI术后护理干预对患者遵医行为影响

目的:探索护理干预对PCI术后患者遵医行为的影响。方法:将80例PCI术后患者随机分为干预组和对照组各40例,对照组给予常规护理,干预组在常规护理基础上实施护理干预,影响患者的遵医行为,对两组患者遵医行为程度进行比较。结果:干预组遵医行为程度显著提高,与对照组比较差异有统计学意义(P<0.05)。结论:护理干预可使PCI患者术后遵医行为明显改善,规范系统的治疗措施得以有效执行。

专科健康教育对老年冠心病患者PCI术后服药依从性和生活质量的影响

目的探讨专科健康教育对老年冠心病患者PCI术后服药依从性和生活质量的影响。方法将65例诊断为冠心病并成功行PCI术患者随机分为两组。两组均接受PCI术后常规药物治疗,对照组予常规健康宣教及出院宣教,教育组予以专科健康教育。评价术后服药依从性,以及一般生活质量和冠心病相关性生活质量。结果与对照组比较,教育组SF-36生理机能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能维度评分较高(P<0.01),SAQ心绞痛稳定、躯体受限程度、心绞痛发作程度、治疗满意度、疾病认知程度评分较高(P<0.05),服药依从率较高(P<0.01)。结论专科健康教育利于提高PCI术后服药依从性和生活质量,提供重要的保障和指导作用。

运动自我效能干预对冠心病行PCI术后患者运动依从性的影响

目的:探讨运动自我效能干预对冠心病行PCI术后患者运动依从性的影响。方法:选取2021-01~2021-08于我院住院的冠心病PCI术后58例患者作为研究对象,1~4月住院患者为对照组,共29例,5~8月住院患者为干预组,共29例。对照组进行常规运动指导,观察组进行常规运动指导+自我效能干预,对比两组自我效能评分、运动依从性评分以及6min步行距离(6MWT)情况。结果:治疗前,两组运动自我效能评分、运动依从性评分、6MWT比较,差异均无统计学意义(P>0.05);治疗后,两组运动自我效能评分、运动依从性评分、6MWT均有所改善,且观察组优于对照组,差异均有统计学意义(P<0.05)。观察组运动频率、运动时间、运动强度均优于对照组(P<0.05)。结论:运动自我效能干预可明显提高冠心病行PCI术后患者运动依从性,促进患者运动功能改善,提升运动的频率、时间以及强度。

延边地区冠心病患者PCI术后危险因素控制和用药依从性分析

[目的]分析延边地区冠心病患者经皮冠状动脉介入治疗(PCI)术后危险因素控制和用药依从性.[方法]采用便利抽样法选取236例行PCI术的冠心病患者,调查危险因素控制和用药依从性情况并进行分析.[结果]随访期间,冠心病患者PCI术后除高密度脂蛋白胆固醇水平较入院时有所升高外,其他各危险因素指标较住院时均明显下降(P<0.05);危险因素知晓率中吸烟控制率为99%,其他危险因素知晓率均不高,体质量指数(BMI)及低密度脂蛋白胆固醇危险因素知晓率不足50%;血压、血糖、血脂水平及不吸烟、BMI等控制达标率较入院时均明显升高(P<0.05).ASA、他汀类药物、β受体阻滞剂及ACEI/ARB的使用率较出院时均显著下降(P<0.05).[结论]延边地区冠心病患者PCI术后危险因素控制和用药依从性情况不理想,建议采用院外延续健康管理模式控制危险因素,提高用药依从性.

行为干预联合针对性宣教对心肌梗死PCI术患者服药依从性、认知程度及再狭窄发生率的影响

目的探讨行为干预联合针对性宣教对心肌梗死PCI术患者服药依从性、认知程度及再狭窄发生率的影响。方法选取我院2014年9月至2015年7月期间收治的经确诊为心肌梗死的患者92例,随机分为观察组和对照组,每组46例,对照组给予术前准备、PCI术后及急性心肌梗死的常规护理,观察组在对照组基础上进行行为干预联合针对性宣教护理,比较两组服药依从性、认知程度及再狭窄发生率。结果两组12个月随访成功率均为100%。出院后3个月服药依从性比较无明显差异(P>0.05);观察组出院后6个月、12个月服药依从性明显高于对照组(P<0.05)。观察组病情认知程度评分显著高于对照组,再狭窄发生率4.35%明显低于对照组17.39%(P<0.05)。结论行为干预联合针对性宣教护理可明显提高心肌梗死PCI术患者服药依从性、认知程度,降低再狭窄发生率。