五步教学法在社区稳定性冠心病患者培训中的应用研究
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摘要
目的探讨五步教学法对社区稳定性冠心病患者培训的影响。方法选取上海市2个社区共116例稳定性冠心病患者为研究对象,采用数字表法,将其分为观察组和对照组各58例。对照组进行常规社区护理和健康教育培训,观察组采用五步教学法进行护理干预,包括联想、问题、假设、推理、验证5个步骤。12个月后,比较两组稳定性冠心病患者的服药依从性和自我管理能力。结果两组稳定性冠心病患者服药依从性和自我管理能力比较观察组均高于对照组,差异均有统计学意义(P<0.01)。结论五步教学法具有较好的培训效果,能有效提高社区稳定性冠心病患者服药依从性和自我管理能力。
Objective To study the effect of five-step teaching method in nursing intervention for community patients with stable angina.Methods Totally,116 patients with stable angina from two communities were randomly divided into the intervention group and the control group.The control group received routine community nursing, the intervention group received five-step teaching method for nursing intervention,including association,problem,hypothesis,deduction and verification of training.Patients' medication adherence and self-management ability were compared after 12 months.Results The medication adherence and self-management ability in intervention group were higher than that control group,with significant difference in two groups(P<0.01).Conclusion The application of five-step teaching method in nursing intervention is beneficial to improve medication adherence and self-management ability in patients with stable angina.
Objective To study the effect of five-step teaching method in nursing intervention for community patients with stable angina.Methods Totally,116 patients with stable angina from two communities were randomly divided into the intervention group and the control group.The control group received routine community nursing, the intervention group received five-step teaching method for nursing intervention,including association,problem,hypothesis,deduction and verification of training.Patients' medication adherence and self-management ability were compared after 12 months.Results The medication adherence and self-management ability in intervention group were higher than that control group,with significant difference in two groups(P<0.01).Conclusion The application of five-step teaching method in nursing intervention is beneficial to improve medication adherence and self-management ability in patients with stable angina.
引文
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[17] 郑晓,李静,娄小平,等.网络互动式健康教育对农村腹膜透析患者服药依从性的影响[J].护理管理杂志,2017,17(10):756-757.
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[19] 王松峰,英静静,刘志明,等.基于微信的延续性护理在患者PICC院外自我维护中的应用[J].护理管理杂志,2015,15(3):215-216.
[20] 潘孟昭.护理学导论[M].北京:人民卫生出版社,1999:25-26.
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[22] 黄艳,张雪兰,卢小菊,等.糖尿病看图对话工具在社区护士健康教育培训中的应用研究[J].护理管理杂志,2018,18(5):377-380.DOI:10.3969/j.issn.1671-315x.2018.05.019.
[23] 高岩,杨瑞玲.信息-动机-行为技巧模型在糖尿病足患者延续护理中的应用研究[J].护理管理杂志,2017,17(8):553-555.
[24] 单秋菊.电话随访式延续性护理对PCI术后患者健康促进生活方式的影响[D].郑州:郑州大学,2014.
[25] 高岩,刘秀华,张尧.电子信息随访系统在糖尿病患者胰岛素规范管理中的应用[J].护理管理杂志,2016,16(5):372-374.
[2] 贺伦惠.运用医疗团队资源管理模式提升急性冠心病患者D2B照护质量的实践[J].中国护理管理,2013,13(11):1-3.DOI:10.3969/j.issn.1672-1756.2013.011.001.
[3] 谢博软,徐丽华.冠心病患者自我管理行为现况及其预测因子分析[J].解放军护理杂志,2011,28(3B):3-7.
[4] SALYER J,SNEED G,CORLEY M,et al.Lifestyle and health status in long-term cardiac transplant recipients[J].Heart Lung,2001,30(6):445-457.DOI:10.1067/mhl.2001.119351.
[5] CHOUDHRY N K,GLYNNl R J,AVORN J,et al.Untangling the relationship between medication adherence and post-myocardial infarction outcomes:medication adherence and clinical outcomes[J].American Heart Journal,2014,167(1):51-58.
[6] GOODMAN H,FIROUZI A,BANYA W,et al.Illness perception,self-care behaviour and quality of life of heart failure patients:a longitudinal questionnaire survey[J].International Journal of Nursing Studies,2013,50(7):945-953.
[7] 袁永梅.冠心病二级预防中他汀类药物用药依从性的影响因素分析及其预防对策[J].实用心脑肺血管病杂志,2015,17(7):55-57.DOI:10.3969/j.issn.1008-5971.2015.07.015.
[8] 葛均波.社区冠心病的规范化治疗[J].上海医药,2012,33(2):7-10.DOI:10.3969/j.issn.1006-1533.2012.02.003.
[9] 沈志云,陈利群.社区稳定性冠心病病人生活质量现状及影响因素分析[J].护理研究,2016,30(5B):1687-1690.DOI:10.3969/j.issn.1009-6493.2016.14.008.
[10] 沈晶.综合设计性实验在高职护生《内科护理学》教学中的应用探索[D].郑州:郑州大学,2017.
[11] 潘楚梅,张琢玉,熊碧文,等.PCI患者冠心病危险因素和延续护理需求调查[J].护理学杂志,2013,28(7):25-26.DOI:10.3870/hlxzz.2013.07.025.
[12] 江琳,张雅丽.冠心病患者中医延伸护理服务内容体系的研究[J].护理学杂志,2016,31(5):5-7.DOI:10.3870/j.issn.1001-4152.2016.05.005.
[13] 国家中医药管理局.关于印发中风等13个病种中医护理方案(试行)的通知[S].2013-05-16.
[14] 赵磊.冠心病的中医治疗研究进展[J].中国中医急症,2013,22(7):1194-1196.DOI:10.3969/j.issn.1004-745X.2013.07.052.
[15] 许卫华,王奇,梁伟熊.Morisky问卷测量高血压患者服药依从性的信度和效度评价[J].中国慢性病预防与控制,2007,15(5):424-426.DOI:10.3969/j.issn.1004-6194.2007.05.006.
[16] 曹文君,郭颖,平卫伟,等.HPLP-Ⅱ健康促进生活方式量表中文版的研制及其性能测试[J].中华疾病控制杂志,2016,20(3):286-289.DOI:10.16462/j.cnki.zhjbkz.2016.03.018.
[17] 郑晓,李静,娄小平,等.网络互动式健康教育对农村腹膜透析患者服药依从性的影响[J].护理管理杂志,2017,17(10):756-757.
[18] 赵淑娟,赵红卫,王丽霞,等.冠心病患者服药依从性及其影响因素分析[J].中国医院药学杂志,2015,35(6):543-547.
[19] 王松峰,英静静,刘志明,等.基于微信的延续性护理在患者PICC院外自我维护中的应用[J].护理管理杂志,2015,15(3):215-216.
[20] 潘孟昭.护理学导论[M].北京:人民卫生出版社,1999:25-26.
[21] 尤敏,程姐,王惠兰,等.五步训练法在中医实习护生技能规范化培训中的应用与研究[J].中医药临床杂志,2016,28(2):298-300.
[22] 黄艳,张雪兰,卢小菊,等.糖尿病看图对话工具在社区护士健康教育培训中的应用研究[J].护理管理杂志,2018,18(5):377-380.DOI:10.3969/j.issn.1671-315x.2018.05.019.
[23] 高岩,杨瑞玲.信息-动机-行为技巧模型在糖尿病足患者延续护理中的应用研究[J].护理管理杂志,2017,17(8):553-555.
[24] 单秋菊.电话随访式延续性护理对PCI术后患者健康促进生活方式的影响[D].郑州:郑州大学,2014.
[25] 高岩,刘秀华,张尧.电子信息随访系统在糖尿病患者胰岛素规范管理中的应用[J].护理管理杂志,2016,16(5):372-374.