目的 探讨基于跨理论模型行为干预对经皮冠状动脉介入治疗术(PCI)后患者心脏康复及生活质量的影响.方法 抽取2013年6月至2015年5月本院PCI术后患者82例,根据干预方式不同分为对照组(n=41)与研究组(n=41);对照组采用常规护理措施,研究组在常规护理基础上实施基于跨理论模型行为干预;对比干预前后两组心脏康复情况(射血分数、胸闷发作次数)、生活质量[精神健康(MH)、情感职能(RE)、社会功能(SF)、生理功能(PF)、生理职能(RP)、活力(VT)、躯体疼痛(BP)、总体健康(GH)]评分变化情况,并统计两组用药依从性.结果 干预前两组射血分数、胸闷发作次数及PF、RP、BP、GH、VT、SF、RE、MH评分对比差异均无统计学意义(均P＞0.05),护理后研究组各指标水平均优于对照组,差异均有统计学意义(均P＜ 0.05);两组用药依从率比较,研究组(95.12％)高于对照组(73.17％),差异有统计学意义(P＜0.05).结论 基于跨理论模型行为干预可有效改善PCI术后患者用药依从性,促进心脏康复,提高其生活质量.%Objective To investigate the effects of behavioral intervention basing on cross theoretical mode on cardiac rehabilitation and quality of life in patients undergoing percutaneous coronary intervention (PCI).Methods 82 patients after PCI were selected from our hospital from June,2013 to May,2015 and were divided into a control group and a study group according to different intervention methods,41 for each group.Routine nursing measures were adopted in the control group;in addition,the study group were given behavior intervention basing on cross theoretical mode.Before and after the intervention,the cardiac rehabilitation (ejection fraction,chest tightness) and quality of life [mental health (MH),emotional function (RE),social function (SF),physiological function (PF),physiological function (RP),vitality (VT),physical pain (BP),general health (GH)]were compared between these two groups.The medication compliance of these two groups were calculated.Results There were no statistical differences in the scores of ejection fraction,chest distress,PF,RP,BP,GH,VT,SF,MH,and RE between these two groups before the intervention (P ＞ 0.05);after nursing care,the above indicators were better in the study group than in the control group,with statistical differences (P ＜ 0.05).The medication compliance rate was 95.12％ in the study group and was 73.17％ in the control group,with a statistical difference (P ＜ 0.05).Conclusion Behavioral intervention basing on cross theoretical mode for patients after PCI can can effectively improve their medication compliance,promote their cardiac rehabilitation,and improve their quality of life.
展开▼
