Effect of shared decision intervention based on evidence-based theory on self-efficacy and psychological resilience of patients with stable coronary heart disease
Objective To explore the effect of shared decision-making intervention based on evidence-based theory on self-efficacy and psychological resilience in patients with stable coronary heart disease(CHD).Methods A total of 207 patients with stable CHD admitted to the hospital from March 2020 to March 2023 were selected and divided into the observation group(114 cases)and the control group(93 cases)according to admission time.The control group was given routine nursing,while the observation group was given shared decision intervention based on evidence-based theory on the basis of the control group.The scores of the Con-nor-Dacidson Resilience Scale(CD-RISC),Decision Conflict Scale(DCS),General Self-Efficacy Scale(GSES),Seattle Angina Questionnaire(SAQ),and nursing satisfaction were compared between two groups before and after intervention.Results There were no statistically significant difference in the scores of CD-RISC,DCS,GSES,and SAQ between the two groups before intervention(P＞0.05).After intervention,the scores of CD-RISC,DCS,GSES,and SAQ of the two groups were better than those before intervention,and all indicators of the observation group were better than those in the control group,with statistical significances(P＜0.05).The total nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P＜0.05).Conclusion The shared decision intervention based on evi-dence-based theory can effectively improve the psychological resilience,self-efficacy,quality of life,and nursing satisfaction of patients with stable CHD,while reducing the level of decision-making conflict.
Evidence based nursingShared decision-makingCoronary heart diseaseSelf-effica-cyPsychological resilience
万方数据
维普
