Application Effect of Self-Management Intervention Program Based on Resourcefulness Theory in Patients with Coronary Artery Disease after PCI
Objective To investigate the application effect of self-management intervention program based on resourcefulness theory in patients with coronary artery disease after percutaneous coronary intervention(PCI).Methods A total of 80 patients with coronary artery disease who underwent PCI in Cardiology Department of Hebei Provincial People's Hospital from June 2023 to March 2024 were selected as the research subjects using the convenience sampling method,and divided into the resourcefulness group and routine group using random number table method,with 40 patients in each group.The routine group received routine nursing intervention after PCI,and the resourcefulness group implemented the self-management intervention program based on resourcefulness theory after PCI on the basis of routine nursing intervention,with an intervention time of 3 months for both groups.The scores of Resourcefulness Scale,Chinese version of Coronary Artery Disease Self-Efficacy Scale(CSES),Coronary Self-Management Scale(CSMS)before and after intervention and incidence of adverse cardiovascular events were compared between the two groups.Results During the intervention period,2 cases in the routine group were transferred for treatment and 2 cases withdrew from the study;3 patients in the resourcefulness group were transferred for treatment,and 2 cases did not cooperate with the intervention.Eventually,71 patients completed the study,including 36 patients in the routine group and 35 patients in the resourcefulness group.After intervention,the scores of individual resourcefulness and social resourcefulness dimensions,and the total score of Resourcefulness Scale in the resourcefulness group were higher than those before intervention(P<0.05);after intervention,the scores of individual resourcefulness and social resourcefulness dimensions,and the total score of Resourcefulness Scale in the resourcefulness group were higher than those in the routine group(P<0.05).After intervention,the scores of functional maintenance and symptom maintenance dimensions,and the total score of Chinese version of CSES in the resourcefulness group were higher than those before intervention(P<0.05);after intervention,the scores of functional maintenance and symptom maintenance dimensions,and the total score of Chinese version of CSES in the resourcefulness group were higher than those in the routine group(P<0.05).After intervention,the scores of daily life management,disease medical management and emotional management dimensions,and the total score of CSMS in the resourcefulness group were higher than those before intervention(P<0.05);after intervention,the scores of daily life management,disease medical management and emotional management dimensions,and the total score of CSMS in the resourcefulness group were higher than those in the routine group(P<0.05).The total incidence of adverse cardiovascular events in the resourcefulness group was lower than that in the routine group(P<0.05).Conclusion The self-management intervention program based on resourcefulness theory can improve the resourcefulness level,self-management efficacy,and self-management ability of patients with coronary artery disease after PCI,and reduce the incidence of adverse cardiovascular events.
万方数据
维普
