首页|基于时机理论的延续性护理模式对冠心病患者锻炼依从性及心功能的影响

基于时机理论的延续性护理模式对冠心病患者锻炼依从性及心功能的影响

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目的 研究以时机理论为框架实施延续性护理在冠心病(CHD)患者中的应用效果.方法 选取河南省胸科医院2022年1月至2023年3月收治的70例CHD患者,随机分为观察组(35例)、对照组(35例).对照组接受常规护理干预,观察组在此基础上接受基于时机理论的延续性护理模式干预,对比两组不良情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、锻炼依从性、心功能[6分钟步行测试(6MWT)、左室射血分数(LVEF)]、预后(复发率及心绞痛频率).结果 干预后,观察组SAS、SDS评分低于对照组(P<0.05);干预后,观察组锻炼依从率(94.29%)高于对照组(74.29%)(P<0.05);干预后,观察组LVEF水平高于对照组,6MWT大于对照组(P<0.05);干预后,观察组复发率、心绞痛发作率(0、2.86%)低于对照组(17.14%、22.86%)(P<0.05).结论 基于时机理论的延续性护理模式能减少CHD患者不良情绪,提高锻炼依从性,改善心功能,提高预后效果.
Effect of Continuous Nursing Model Based on Timing Theory on Exercise Compliance and Heart Function in Patients with Coronary Heart Disease
Objective To study the effect of continuous nursing in patients with coronary heart disease(CHD)under the framework of timing theory.Methods Seventy patients with CHD in Henan Provincial Chest Hospital from January 2022 to March 2023 were randomly divided into observation group(35 cases)and control group(35 cases).The control group received routine nursing intervention,and the observation group received continuous nursing intervention based on timing theory.Negative mood[(self-rating depression scale,SDS),(self-rating anxiety scale,SAS),exercise compliance,heart function[six-minute walking test(6MWT),left ventricular ejection fraction(LVEF)],prognosis(recurrence rate and frequency of angina pectoris)were compared between the two groups.Results After intervention,the scores of SAS and SDS in observation group were lower than those in control group(P<0.05).After intervention,the exercise compliance rate of the observation group was 94.29%,which was higher than that of the control group(74.29%)(P<0.05).After intervention,LVEF level in observation group was higher than that in control group,6MWT was higher than that in control group(P<0.05).After the intervention,the recurrence rate and angina pectoris attack rate in the observation group(0,2.86%)were lower than those in the control group(17.14%,22.86%)(P<0.05).Conclusion The continuous nursing mode based on timing theory can reduce the adverse mood,improve the exercise compliance,improve the cardiac function and improve the prognosis of CHD patients.

coronary hear diseasetiming theoryextended careexercise compliancecardiac function

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河南省胸科医院心外科,河南郑州 450000

冠心病 时机理论 延续护理 锻炼依从性 心功能

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(24)