首页|家属参与式护理干预模式对慢性心律失常患者病情控制及自我管理能力的影响

家属参与式护理干预模式对慢性心律失常患者病情控制及自我管理能力的影响

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目的 探讨家属参与式护理干预模式对慢性心律失常患者病情控制及自我管理能力的影响。方法 选取慢性心律失常患者126 例纳入研究,采用随机抽签法分为对照组和观察组各63 例,均干预3 个月。对照组实施常规护理干预模式,观察组在此基础上实施家属参与式护理干预模式。比较两组干预前及干预 1 个月、3 个月后的疾病不确定感家属量表(Mishel uncertainty in illness scale-family member form,MUIS-FM)、自我管理能力量表(self-management ability scale,SMAS)、焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)评分及心率变化、治疗依从性、并发症发生率。结果 干预1 个月、3 个月后观察组MUIS-FM、SAS、SDS评分均低于对照组,SMAS评分高于对照组(均P<0。05)。干预1 个月后,观察组最慢心率高于对照组(P<0。05);干预 3 个月后,观察组静息心率、最慢心率均高于对照组(均P<0。05)。干预1 个月、3 个月后观察组 24h平均心率与对照组比较,差异均无统计学意义(均 P>0。05)。观察组治疗依从率高于对照组(96。83%vs。85。71%,P<0。05)。观察组并发症发生率与对照组比较,差异无统计学意义(1。59%vs。9。52%,P>0。05)。结论 家属参与式护理干预模式能改善患者情绪状态,提高患者治疗依从性及自我管理能力,减轻家属的疾病不确定感,有助于患者病情的控制。
Influence of family member participatory nursing intervention mode on disease control and self-management ability of patients with chronic arrhythmia
Objective To explore the influence of family member participatory nursing intervention mode on the disease control and self-management ability of patients with chronic arrhythmia.Methods A total of 126 patients with chronic arrhythmia were included in the study,and were divided into control group and observation group in the random drawing method,with 63 cases in each group,both given intervention for 3 months.The control group implemented routine nursing intervention mode,while the observation group adopted family member participatory nursing intervention mode on this basis.The scores of Mishel uncertainty in illness scale-family member form(MUIS-FM),self-management ability scale(SMAS),self-rating anxiety scale(SAS)and self-rating depression scale(SDS),change of heart rate,treatment compliance,and complication rate were compared between the two groups before intervention,and 1 month and 3 months after intervention.Results After 1 month and 3 months of intervention,the scores of MUIS-FM,SAS and SDS in the observation group were all lower than those in the control group,while the score of SMAS was higher than that in the control group(all P<0.05).After 1 month of intervention,the minimum heart rate of the observation group was higher than that of the control group(P<0.05);after 3 months of intervention,the resting heart rate and the minimum heart rate of the observation group were both higher than those of the control group(all P<0.05).There was no statistically significant difference in the mean heart rate within 24 hours between the observation group and the control group after 1 month and 3 months of intervention(all P>0.05).The treatment compliance rate of the observation group was higher than that of the control group(96.83%vs.85.71%,P<0.05).There was no statistically significant difference in complication rate between the observation group and the control group(1.59%vs.9.52%,P>0.05).Conclusion Family member participatory nursing intervention mode could improve patients'emotional state,treatment compliance and self-management ability,and alleviate family members'uncertainty in illness,which helps patients with disease control.

arrhythmiafamily member participatory nursingself-management abilityuncertainty in illnesstreatment compliance

穆瑞红、宋玉、马晓滨

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450000 河南 郑州,郑州市金水区总医院内科

心律失常 家属参与式护理 自我管理能力 疾病不确定感 治疗依从性

河南省医学科技攻关联合共建项目

LHGJ20217811

2024

实用心电学杂志
江苏大学

实用心电学杂志

影响因子:0.648
ISSN:2095-9354
年,卷(期):2024.33(5)