Orem自护理论配合饮食指导对心肌梗死患者的影响
|
摘要
目的:探讨Orem自护理论配合饮食指导对心肌梗死患者饮食习惯、服药依从性及自护能力的影响。方法:将124例心肌梗死患者随机分为配合组和对照组各62例,对照组采取心血管内科常规护理干预,配合组在对照组基础上采取Orem自护理论配合饮食指导进行干预。比较两组干预前及干预2周后服药依从性、自护能力、生活质量,干预2周后饮食习惯及心血管不良事件发生情况。结果:干预2周后,两组合理用药自我效能量表(SEAMS)评分、自我护理能力量表(ESCA)评分、慢性病患者生活质量测定量表-冠心病分量表(QLICD-CHD)各项评分及总分均显著高于干预前(P<0.05),且配合组高于对照组(P<0.05);配合组饮食习惯各项评分及总分均明显高于对照组(P<0.05);配合组心血管不良事件总发生率明显低于对照组(P<0.05)。结论:Orem自护理论配合饮食指导能有效改善心肌梗死患者饮食习惯,提高患者服药依从性及自护能力,降低心血管不良事件发生风险。
Objective: To explore the effects of Orem self-care theory and dietary guidance on eating habits,medication compliance and self-care ability in patients with myocardial infarction. Methods: A total of 124 patients with myocardial infarction were randomly divided into a combination group and a control group,62 cases in each group. The control group took the routine nursing intervention in the cardiovascular medicine department,and the group adopted the Orem self-care theory and the diet guidance on the basis of the control group. Drug compliance,self-care ability,quality of life,and eating habits and adverse cardiovascular events after 2 weeks of intervention were compared between the two groups before and 2 weeks after intervention. Results: After 2 weeks of intervention,the scores and total scores of the two groups of rational drug use self-efficacy scale(SEAMS),self-care ability scale(ESCA),chronic disease quality of life scale and coronary heart disease subscale(QLICD-CHD) were significantly higher than those before intervention(P < 0. 05),and the combination group was higher than the control group(P < 0. 05). The scores and total scores of the diet habits of the combination group were significantly higher than those in the control group(P < 0. 05),and the total incidence of adverse cardiovascular events in the group was significantly lower than that of the control group(P < 0. 05). Conclusion: Orem self-care theory combined with dietary guidance can effectively improve the diet habits of patients with myocardial infarction,improve the compliance and self-care ability of the patients,and reduce the risk of cardiovascular adverse events.
Objective: To explore the effects of Orem self-care theory and dietary guidance on eating habits,medication compliance and self-care ability in patients with myocardial infarction. Methods: A total of 124 patients with myocardial infarction were randomly divided into a combination group and a control group,62 cases in each group. The control group took the routine nursing intervention in the cardiovascular medicine department,and the group adopted the Orem self-care theory and the diet guidance on the basis of the control group. Drug compliance,self-care ability,quality of life,and eating habits and adverse cardiovascular events after 2 weeks of intervention were compared between the two groups before and 2 weeks after intervention. Results: After 2 weeks of intervention,the scores and total scores of the two groups of rational drug use self-efficacy scale(SEAMS),self-care ability scale(ESCA),chronic disease quality of life scale and coronary heart disease subscale(QLICD-CHD) were significantly higher than those before intervention(P < 0. 05),and the combination group was higher than the control group(P < 0. 05). The scores and total scores of the diet habits of the combination group were significantly higher than those in the control group(P < 0. 05),and the total incidence of adverse cardiovascular events in the group was significantly lower than that of the control group(P < 0. 05). Conclusion: Orem self-care theory combined with dietary guidance can effectively improve the diet habits of patients with myocardial infarction,improve the compliance and self-care ability of the patients,and reduce the risk of cardiovascular adverse events.
引文
[1]刘丽英,王建荣,吴丹,等.急性心肌梗死患者早期康复护理起始时间的研究进展[J].中国护理管理,2013,13(9):88-89.
[2]陈惠雅,陈小舒,胡克萍.Orem自理理论指导康复训练在ACL损伤重建术患者中的应用[J].齐鲁护理杂志,2017,23(18):35-37.
[3]颜红兵,胡大一.美国心脏病学院和美国心脏协会2013年心肌梗死治疗指南解读[J].中华心血管病杂志,2013,41(4):346-347.
[4]陈彬,陈玲.中文版合理用药自我效能量表在冠心病患者应用中的信效度研究[J].中华现代护理杂志,2017,23(14):1837-1842.
[5]王月宾,许禄云,杨林顺,等.自我护理能力实施量表中文版在精神分裂症患者中的信效度[J].临床精神医学杂志,2014,24(2):104-107.
[6]杨瑞雪,潘家华,万崇华,等.慢性病患者生命质量测定量表体系之冠心病量表的效度及反应度分析[J].中国全科医学,2007,10(21):1788-1791.
[7]李慧,吴巍,王欣月.不同年龄段心肌梗死发病的相关因素研究[J].贵州医药,2017,41(2):155-156.
[8]García-Fernández E,Rico-Cabanas L,Rosgaard N,et al.Mediterranean Diet and Cardiodiabesity:A Review[J].Nutrients,2014,6(9):3474.
[9]李响,关文池,李冶铜,等.中国急性心肌梗死出院患者予以饮食建议/指导的情况及十年趋势调查[J].中华医学杂志,2018,98(7):544-548.
[10]张玉梅.护理饮食管控对冠心病患者的影响[J].三峡大学学报(自然科学版),2017,39(S1):227-228.
[11]谭平,张泽丹,包维为.高龄患者生活行为与冠心病发病的相关性研究[J].中国临床保健杂志,2012,15(6):592-594.
[12]李世峰,谢蒙伟,李德林,等.高龄冠心病患者PCI术后长期双联抗血小板的服药依从性与消化道出血的相关性[J].中国老年学杂志,2017,37(13):3221-3222.
[13]傅拥军,菅颖,胡慧群.急性心肌梗死经PCI术后行延续性护理对患者心理状态和服药依从性的影响[J].中华全科医学,2018,16(2):326-329.
[14]巨颖岚,赵亚笙,殷紫蓉.Orem自理理论在冠心病患者护理中的应用[J].实用心脑肺血管病杂志,2013,21(1):143-144.
[15]盛培,何晓旋,张慧琴.Orem自理模式在尿毒症合并心力衰竭患者血液透析中的应用[J].齐鲁护理杂志,2017,23(7):59-60.
[16]姚芳,徐冰仙.自我管理指导对心肌梗死患者自护能力和生活质量的影响[J].中国煤炭工业医学杂志,2015,18(2):311-313.
[2]陈惠雅,陈小舒,胡克萍.Orem自理理论指导康复训练在ACL损伤重建术患者中的应用[J].齐鲁护理杂志,2017,23(18):35-37.
[3]颜红兵,胡大一.美国心脏病学院和美国心脏协会2013年心肌梗死治疗指南解读[J].中华心血管病杂志,2013,41(4):346-347.
[4]陈彬,陈玲.中文版合理用药自我效能量表在冠心病患者应用中的信效度研究[J].中华现代护理杂志,2017,23(14):1837-1842.
[5]王月宾,许禄云,杨林顺,等.自我护理能力实施量表中文版在精神分裂症患者中的信效度[J].临床精神医学杂志,2014,24(2):104-107.
[6]杨瑞雪,潘家华,万崇华,等.慢性病患者生命质量测定量表体系之冠心病量表的效度及反应度分析[J].中国全科医学,2007,10(21):1788-1791.
[7]李慧,吴巍,王欣月.不同年龄段心肌梗死发病的相关因素研究[J].贵州医药,2017,41(2):155-156.
[8]García-Fernández E,Rico-Cabanas L,Rosgaard N,et al.Mediterranean Diet and Cardiodiabesity:A Review[J].Nutrients,2014,6(9):3474.
[9]李响,关文池,李冶铜,等.中国急性心肌梗死出院患者予以饮食建议/指导的情况及十年趋势调查[J].中华医学杂志,2018,98(7):544-548.
[10]张玉梅.护理饮食管控对冠心病患者的影响[J].三峡大学学报(自然科学版),2017,39(S1):227-228.
[11]谭平,张泽丹,包维为.高龄患者生活行为与冠心病发病的相关性研究[J].中国临床保健杂志,2012,15(6):592-594.
[12]李世峰,谢蒙伟,李德林,等.高龄冠心病患者PCI术后长期双联抗血小板的服药依从性与消化道出血的相关性[J].中国老年学杂志,2017,37(13):3221-3222.
[13]傅拥军,菅颖,胡慧群.急性心肌梗死经PCI术后行延续性护理对患者心理状态和服药依从性的影响[J].中华全科医学,2018,16(2):326-329.
[14]巨颖岚,赵亚笙,殷紫蓉.Orem自理理论在冠心病患者护理中的应用[J].实用心脑肺血管病杂志,2013,21(1):143-144.
[15]盛培,何晓旋,张慧琴.Orem自理模式在尿毒症合并心力衰竭患者血液透析中的应用[J].齐鲁护理杂志,2017,23(7):59-60.
[16]姚芳,徐冰仙.自我管理指导对心肌梗死患者自护能力和生活质量的影响[J].中国煤炭工业医学杂志,2015,18(2):311-313.