The effect of empowerment education on coping style and self-management ability after acute myocardial infarction intervention under the framework of timing theory
Objective:To explore the effect of empowerment education on coping style and self-management ability after acute myocardial infarction(AMI)intervention under the framework of timing theory.Methods:A total of 124 patients with AMI who underwent percutaneous coronary intervention(PCI)in our hospital from August 2022 to July 2023 were selected by convenience sampling method.According to the order of admission time,they were divided into study group(62 cases)and reference group(62 cases).The reference group was given routine nursing intervention,and the study group was given empowerment education under the framework of timing theory.Both groups were intervened for 3 months.The scores of Medical Coping Style Questionnaire(MCMQ),Coronary Heart Disease Self-Management Scale(CSMS)and European Five-Dimensional Health Scale(EQ-5D)were compared between the two groups before and after the intervention.Results:After intervention,the scores of avoidance and yield dimensions of the study group were lower than those of the reference group,and the scores of the face dimension were higher than those of the reference group,the differences were statistically significant(t =8.149,9.857,7.555,all P<0.001).There were significant differences in the scores of each dimension of MCMQ between the study group and the reference group before and after intervention(t =9.621,10.707,15.060,all P<0.001).The scores of emotional cognition management,treatment compliance management,disease knowledge acquisition management,symptoms management,general life management and bad habits management,and total scores of study group were higher than those of the reference group,and the differences were statistically significant(t =5.240,6.521,5.385,2.033,7.524,8.839,11.401,all P<0.05).There were statistically significant differences in the scores of emotional cognition management,treatment compliance management,disease knowledge acquisition management,symptoms management,general life management and bad habits management dimensions and total scores in the CSMS scale before and after intervention in the study group and the reference group(t = 25.656,14.551,12.207,5.195,18.240,24.311,24.664,all P<0.001).The post-intervention health status visual analog scale(EQ-VAS)and EQ-5D-3L utility value score of the study group were higher than those of the reference group(t =6.879,6.407,all P<0.001),and the pre-and post-intervention differences in EQ-VAS and EQ-5D-3L utility scores of the study group were greater than those of the reference group(t =13.477,14.173,all P<0.001).Conclusion:The application of empowerment education under the framework of timing theory can improve the coping style and self-management ability of patients with AMI after PCI,which is beneficial to improve the quality of life.
NETL
NSTL
维普
万方数据
