医患共同决策在老年冠心病患者经皮冠状动脉介入治疗护理中的应用
Application of Doctor-Patient Joint Decision-Making in Nursing Care of Elderly Patients with Coronary Heart Disease Undergoing Percutaneous Coronary Intervention Treatment
李聪 1朱晖 1田艳玲 1周俊雅1
作者信息
- 1. 河南省人民医院心血管综合一,郑州 450000
- 折叠
摘要
目的:探讨对老年冠心病患者经皮冠状动脉介入治疗(PCI)时,采用医患共同决策护理的临床效果.方法:选取2020 年1 月至2022 年12 月本院收治的86 例老年冠心病患者为研究对象.根据护理方法不同,将其分为观察组(n =43,采用常规护理+医患共同决策措施)和对照组(n =43,仅采用常规护理措施).采用回顾性分析,收集两组患者临床资料并进行统计学分析,比较护理前、护理 2 周结束时,两组患者心理状态评分[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分],以及护理前、出院 1 个月后,两组患者自我管理能力.结果:护理 2 周后,两组患者 SDS、SAS 评分,均低于护理前,且观察组患者 SDS、SAS 评分显著低于对照组,差异均有统计学意义(P＜0.05);出院 1 个月后,两组患者自我管理评分均高于护理前,且观察组高于对照组,差异均有统计学意义(P＜0.05).结论:医患共同决策可有效改善老年冠心病PCI患者心理状态,提高其自我管理能力.
Abstract
Objective:To explore the application effect of doctor-patient joint decision-making nursing in elderly patients with coronary heart disease undergoing percutaneous coronary intervention(PCI).Methods:A total of 86 elderly patients with coronary heart disease admitted to our hospital from January 2020 to December 2022 were selected for the study.According to different nursing methods,they were divided into an observation group(n =43,using routine care+doctor-patient joint decision-making care)and a control group(n =43,using routine care).Retrospective analysis was used to collect clinical data of patients and conduct statistical analysis.The mental state[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]before nursing and at the end of two weeks of nursing were compared,as well as self-management ability before nursing and 1 month after discharge of the two groups were compared.Results:After 2 weeks of nursing,the SAS and SDS scores of both groups of patients were lower than before nursing,and the observation group was lower than the control group,with statistical significance(P＜0.05).After one month of discharge,the self-management scores of both groups of patients were higher than before nursing,and the observation group was higher than the control group,with statistical significance(P＜0.05).Conclusion:The shared decision making can effectively improve the psychological state of elderly patients with coronary heart disease after PCI,improve their self-management ability and compliance behavior.
关键词
冠心病/老年/经皮冠状动脉介入术/医患共同决策/自我管理能力Key words
Coronary heart disease/Elderly/Percutaneous transluminal coronary intervention/Doctor-patient joint decision-making/Self-management ability引用本文复制引用
出版年
2024
NETL
NSTL
万方数据