摘要
目的:分析赋能理论下的分阶段管理对急性心肌梗死(AMI)患者心功能、自我管理效能的影响.方法:选择2020年4月 2022年12月在我院首次诊断为AMI并行经皮冠状动脉介入术(PCI)的110例患者作为研究对象,根据随机数字表法均分为对照组(55例,采用常规干预方式)与观察组(55例,基于赋能理论的分阶段管理干预).对比两组患者疗效及干预前后心功能、冠心病自我管理行为量表(CSMS)、一般自我效能感量表(GSES)、中国心血管患者生活质量评定问卷(CQQC)评分、主要不良心血管事件(MACE)及再入院发生率.结果:与对照组比较,观察组干预后总有效率(72.73％比89.09％)、左室射血分数(LVEF)[(52.67±1.56)％比(56.80± 1.10)％]、CSMS[(87.29±11.02)分比(101.45±17.01)分]、GSES[(24.67±3.66)分比(29.24±4.83)分]、CQQC[(80.18±14.25)分比(104.00±20.95)分]评分均显著升高,P＜0.05或＜0.01;左心室舒张末期容积(LVEDV)[(133.58±4.43)ml 比(117.26±4.26)ml]、左心室收缩末期容积(LVESV)[(64.49± 2.48)ml 比(55.13±2.58)ml]和再入院率(14.55％比 1.82％)显著降低,P＜0.05 或＜0.01.两组 MACE 发生率无显著差异(x2=3.782,P=0.052).结论:基于赋能理论的分阶段管理能够显著提高AMI患者的治疗效果,同时改善患者心功能、提高自我管理能力、自我效能感和生活质量,并降低再入院率.
Abstract
Objective:To analyze the effects of staged management based on empowerment theory on cardiac func-tion and self-management efficacy in patients with acute myocardial infarction(AMI).Methods:A total of 110 patients who were first diagnosed as AMI and underwent percutaneous coronary intervention(PCI)in our hospital from April 2020 to December 2022 were selected.They were randomly and equally divided into control group(n=55,received routine intervention)and observation group(n=55,received staged management intervention based on empowerment theory)according to random number table.Therapeutic effect,cardiac function,scores of coronary self-management scale(CSMS),general self-efficacy scale(GSES),China questionnaire of quality of life in pa-tients with cardiovascular diseases(CQQC)before and after intervention,incidence rates of major adverse cardio-vascular events(MACE)and readmission were compared between two groups.Results:Compared with control group after intervention,there were significant rise in total effective rate(72.73％vs.89.09％),left ventricular e-jection fraction(LVEF)[(52.67±1.56)％vs.(56.80±1.10)％],scores of CSMS[(87.29±11.02)points vs.(101.45±17.01)points],GSES[(24.67±3.66)points vs.(29.24±4.83)points]and CQQC[(80.18±14.25)points vs.(104.00±20.95)points],P＜0.05 or＜0.01;and significant reductions in left ventricular end-dias-tolic volume(LVEDV)[(133.58±4.43)ml vs.(117.26±4.26)ml],left ventricular end-systolic volume(LVESV)[(64.49±2.48)ml vs.(55.13±2.58)ml]and readmission rate(14.55％vs.1.82％)in observation group,P＜0.05 or＜0.01.There was no significant difference in the incidence rate of MACE between two groups(x2=3.782,P=0.052).Conclusion:The staged management based on empowerment theory can significantly im-prove the therapeutic effect,cardiac function,self-management ability,self-efficacy and quality of life,and re-duce readmission rate in AMI patients.
维普
万方数据