首页|精细化护理干预对急性心肌梗死PCI术后患者的自我效能和生活质量的影响

精细化护理干预对急性心肌梗死PCI术后患者的自我效能和生活质量的影响

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目的 分析精细化护理干预对急性心肌梗死经皮冠状动脉介入治疗(PCI)术后患者的自我效能和生活质量的影响.方法 选取2021年6月至2023年6月安徽省安庆市第一人民医院收治的行PCI术的急性心肌梗死患者78例,按照随机数字表法将其分为对照组和试验组,各39例.对照组行常规护理,试验组行精细化护理,比较两组情绪评分、心功能等临床指标、自我效能、自护能力及生活质量.结果 干预后,两组汉密尔顿焦虑量表、汉密顿抑郁量表得分低于干预前,且试验组低于对照组(P<0.05);两组6分钟步行试验(6MWT)长于干预前、疼痛数字评分量表(NRS)评分低于干预前,且试验组6MWT长于对照组,NRS评分低于对照组(P<0.05);两组左室射血分数(LVEF)高干预前、左心室舒张末期内径(LVEDD)水平低于干预前,且试验组LVEF高于对照组、LVEDD水平低于对照组(P<0.05);两组自我效能、自护能力评分高于干预前,且试验组高于对照组(P<0.05).结论 精细化护理干预在急性心肌梗死PCI术后干预中,提高患者的自我效能和生存质量,并且有利于患者心功能的恢复,在临床中有较高的应用价值.
Effect of refined nursing intervention on self-efficacy and quality of life in patients with acute myocardial infarction after percutaneous coronary intervention surgery
Objective To analyze the effect of refined nursing intervention on self-efficacy and quality of life in patients with acute myocardial in-farction after percutaneous coronary intervention(PCI)surgery.Methods A total of 78 patients with acute myocardial infarction who underwent PCI in the Anqing First People's Hospital,Anhui Province from June 2021 to June 2023 were selected,according to random number table method,they were divided into control group and experimental group,with 39 cases in each group.The control group received routine nursing,and the experi-mental group received refined nursing.Emotional score,cardiac function and other clinical indicators,self-efficacy,self-care ability,and quality of life were compared between the two groups.Results After intervention,the scores of Hamilton anxiety scale and Hamilton depression scale in the two groups were lower than those before intervention,and those of experimental group were lower than those of the control group(P<0.05);the 6-minute walking test(6MWT)of the two groups was longer than that before intervention,and the score of pain numerical rating scale(NRS)was lower than that before intervention,and the 6MWT of the experimental group was longer than that of the control group,and the NRS was lower than that of the control group(P<0.05);left ventricular ejection fraction(LVEF)was higher than that before intervention,left ventricular end-diastolic diameter(LVEDD)level was lower than that that before intervention,LVEF level in experimental group was higher than that of control group,LVEDD level was lower than that of control group(P<0.05).The scores of self-efficacy and self-care ability of the two groups were higher than those before intervention,and those of the experimental group was higher than that of the control group(P<0.05).Conclusion Refined nursing in-tervention can improve patients'self-efficacy and quality of life,and is conducive to the recovery of patients'cardiac function in the PCI interven-tion of acute myocardial infarction,which will have high application value in the actual situation.

Acute myocardial infarctionPercutaneous coronary interventionRefined nursingQuality of lifeSelf-efficacy

杨平平、张敏、彭杰成、刘慧美、苏家凤

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安徽省安庆市第一人民医院心内科,安徽安庆 246003

急性心肌梗死 经皮冠状动脉介入治疗 精细化护理 生活质量 自我效能

安徽省卫生健康委科研项目

AHWJ2021b103

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(14)
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