保护动机护理对老年冠心病患者生活质量、自护能力的影响
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摘要
目的探讨保护动机护理对老年冠心病(CHD)患者生活质量、自护能力的影响。方法选取2016年5月～2018年3月我院收治的60例老年CHD患者,按照护理方法不同分为观察组(n=30)和对照组(n=30)。对照组给予基础护理,观察组给予保护动机护理,比较干预后两组的自护能力和生活质量状况。结果观察组自护能力量表(ESCA)评分包括健康知识[(27.24±3.16)分]、护理技能[(37.53±4.36)分]、自我概念[(28.24±3.56)分]、自护责任感[(28.63±5.23)分]均显著高于对照组(P<0.05)。观察组西雅图心绞痛量表(SAQ)评分包括疾病认知程度[(86.03±8.35)分]、治疗满意度[(83.25±6.81)分]、心绞痛发作[(82.21±7.91)分]、心绞痛稳定[(84.53±6.93)分]、躯体受限程度[(80.56±6.17)分]均显著高于对照组,差异有统计学意义(P<0.05)。结论保护动机护理可提高老年CHD患者的自护能力,改善患者的生活质量,值得临床推广。
Objective To explore the effect of protective motivation nursing on quality of life and self-care ability of elderly patients with coronary heart disease(CHD). Methods Sixty elderly patients with CHD admitted to our hospital from May 2016 to March 2018 were selected. According to different nursing methods, they were divided into observation group(n=30) and control group(n=30). The control group was given basic nursing, and the observation group was given protective motivation nursing. Results The scores of self-nursing ability scale(ESCA), including health knowledge([27.24±3.16] points), nursing skills([37.53±4.36] points), self-concept([28.24±3.56] points) and self-care responsibility([28.63±5.23] points) in the observation group were significantly higher than those in the control group(P<0.05). The seattle angina questionnaire(SAQ) scores of the observation group included disease cognition degree([86.03±8.35] points), treatment satisfaction degree([83.25±6.81] points), angina pectoris attack([82.21±7.91] points),stable angina pectoris([84.53±6.93] points), and physical restriction degree([80.56 ±6.17] points) were significantly higher than that of the control group(P<0.05). Conclusion Protective motivation nursing can improve the self-care ability of elderly patients with CHD, improve the quality of life of patients, worthy of promotion.
Objective To explore the effect of protective motivation nursing on quality of life and self-care ability of elderly patients with coronary heart disease(CHD). Methods Sixty elderly patients with CHD admitted to our hospital from May 2016 to March 2018 were selected. According to different nursing methods, they were divided into observation group(n=30) and control group(n=30). The control group was given basic nursing, and the observation group was given protective motivation nursing. Results The scores of self-nursing ability scale(ESCA), including health knowledge([27.24±3.16] points), nursing skills([37.53±4.36] points), self-concept([28.24±3.56] points) and self-care responsibility([28.63±5.23] points) in the observation group were significantly higher than those in the control group(P<0.05). The seattle angina questionnaire(SAQ) scores of the observation group included disease cognition degree([86.03±8.35] points), treatment satisfaction degree([83.25±6.81] points), angina pectoris attack([82.21±7.91] points),stable angina pectoris([84.53±6.93] points), and physical restriction degree([80.56 ±6.17] points) were significantly higher than that of the control group(P<0.05). Conclusion Protective motivation nursing can improve the self-care ability of elderly patients with CHD, improve the quality of life of patients, worthy of promotion.
引文
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[15]侯诗箐,陈玲,张建荣,等.动机性访谈对糖尿病合并冠心病患者生存质量的影响[J].实用临床医药杂志,2013,17(14):140-141.
[2]张萌,金昌德,王彦鑫.冠心病患者生活质量测评工具的研究进展[J].中国实用护理杂志,2014,30(17):57-59.
[3]孙丹.基于保护动机理论的护理干预对社区老年人心血管健康的影响[D].郑州:郑州大学,2017.
[4]王晓,韩玉梅,徐莎莎,等.慢性病患者自护能力与社会支持的相关性研究[J].护理学杂志,2014,29(3):27-29.
[5]陈艳.冠心病患者共病状态与自我护理能力及生活质量的关系研究[J].当代护士(下旬刊),2018,25(1):27-29.
[6]顾岩.保护动机理论对冠脉支架植入术后患者自我管理行为的影响[D].长春:吉林大学,2016.
[7]孙明裕,褚俊,韩永生.肌酐正常的冠心病患者肾小球滤过率对冠状动脉侧支循环的影响及危险因素[J].中国循环杂志,2015,30(4):331-334.
[8]况刚,陈庆伟,李兴升,等.老年女性冠心病危险因素和冠状动脉病变特点临床研究[J].中华老年医学杂志,2013,32(10):1076-1079.
[9]祝小霞,丁旵东,曾胜煌,等.冠状动脉狭窄程度与冠心病危险因素的相关性分析[J].中华老年心脑血管病杂志,2014,16(3):267-270.
[10]盛青江,赵洛沙.冠心病患者冠状动脉病变严重程度与冠心病危险因素的相关分析[J].内蒙古医学杂志,2016,48(8):933-935.
[11]刘彩.保护动机理论在健康行为解释、干预与预测中的应用研究[J].医学与社会,2015,28(7):77-79.
[12]田彦,张建欣,许燕,等.基于保护动机理论患者护理的应用进展[J].护理学报,2017,24(22):23-27.
[13]胡素玲.不同的健康宣教模式对冠心病患者自护能力及生活方式的影响[J].国际护理学杂志,2014,35(9):2442-2444.
[14]冯萍.基于保护动机理论的健康教育对PCI患者服用双联抗血小板药物依从性的影响[D].苏州:苏州大学,2014.
[15]侯诗箐,陈玲,张建荣,等.动机性访谈对糖尿病合并冠心病患者生存质量的影响[J].实用临床医药杂志,2013,17(14):140-141.