Effect of Teach-back combined with narrative care for elderly patients after percutaneous coronary intervention
Objective To explore the effects of Teach-back combined with narrative care on cognitive function and self-management ability in elderly patients after percutaneous coronary intervention(PCI).Methods This was a prospective study.Eighty-two elderly patients with coronary heart disease who underwent PCI at Xianyang First People's Hospital from July 2021 to June 2023 were selected as the study objects.They were divided into a reference group and an experimental group by the random number table method,with 41 cases in each group.There were 23 males and 18 females in the reference group;they were(68.82±5.39)years old;their disease course was(2.74±0.82)years.There were 21 males and 20 females in the experimental group;they were(69.14±5.67)years old;their disease course was(2.76±0.89)years.The reference group took conventional nursing care.The experimental group received Teach-back and narrative nursing.Both groups were intervened until 30 d after discharge,and were followed up for 6 months.The rehabilitation progress[exercise duration(ED),6-minute walk test(6MWD),left ventricular ejection fraction(LVEF)],cognitive function[Senior Cognitive Function Scale(SECF)score],and self-management ability[Coronary Heart Disease Self-Management Scale(CSMS)score]were evaluated in the two groups.The incidences of adverse events in both groups were recorded.tandx2 tests were used for the statistical analysis.Results Before the intervention,there were no statistical differences in the rehabilitation progress,cognitive function,and self-management ability between the two groups(all P＞0.05).The ED,LVEF,6MWT,total score of SECF,and scores of disease knowledge,emergency management,unhealthy habits,symptom management,emotional management,daily life,and treatment compliance in the experimental group were better than those in the reference group[(449.79±58.52)s vs.(391.82±56.48)s,(307.55±9.45)m vs.(266.57±9.78)m,(64.27±6.18)％vs.(56.93±5.74)％,(86.03±7.36)vs.(73.92±7.14),(16.92±1.17)vs.(13.50±1.02),(9.84±1.39)vs.(7.62±1.14),(15.49±1.05)vs.(13.34±1.07),(13.14±1.78)vs.(9.83±1.45),(13.63±1.67)vs.(12.24±1.51),(15.26±1.38)vs.(12.48±1.29),and(6.67±1.08)vs.(5.52±1.10)],with statistical differences(t=4.564,19.295,5.572,7.562,14.108,7.907,9.183,9.232,3.953,9.423,and 4.777;all P＜0.05).The incidence of adverse cardiovascular events in the experimental group was lower than that in the control group[4.88％(2/41)vs.21.95％(9/41)],with a statistical difference(x2=5.145;P=0.023).Conclusion Teach-back combined with narrative care for elderly patients after PCI can significantly improve their cognitive function and self-management ability and rehabilitation effect,and reduce the occurrence of adverse events.
万方数据
维普
