首页|双心护理模式在冠心病支架植入术患者运动康复中的应用效果研究

双心护理模式在冠心病支架植入术患者运动康复中的应用效果研究

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目的 分析双心护理模式在在冠心病支架植入术患者运动康复中的应用效果。方法 选取 2021 年 1 月至2022 年 12 月于郑州市第七人民医院接受支架植入术治疗的 88 例冠心病运动恐惧患者设置为研究样本,在区间随机法引导下均等划分组别,对照组(44例)护理方案为常规护理,实验组(44例)以常规护理作为基础实施双心护理模式。比较护理前后心脏病运动恐惧评分(TSK-SV Heart)、自我效能感评分(GSES)及生活质量评分(SF-36)改善情况。结果 护理前,两组患者TSK-SV Heart评分比较,差异无统计学意义(P>0。05);护理后,实验组TSK-SV Heart量表中危险感知评分、运动恐惧评分、运动回避评分、功能紊乱评分低于对照组,差异有统计学意义(P<0。05)。护理前,两组患者GSES评分比较,差异无统计学意义(P>0。05);护理后,实验组GSES量表中疼痛管理评分、症状应对评分、躯体功能评分高于对照组,差异有统计学意义(P<0。05)。护理前,两组患者SF-36评分比较,差异无统计学意义(P>0。05);护理后,实验组各维度生活评分均高于对照组,差异有统计学意义(P<0。05)。结论 对冠心病支架植入术患者运动恐惧患者实施双心护理模式可明显改善其运动恐惧,提升其自我效能、生活质量,值得应用。
Study on the Application Effect of Dual Heart Nursing Mode in Exercise Rehabilitation of Patients with Coronary Heart Disease Undergoing Stent Implantation
Objective To analyze the application effect of double heart nursing mode in in the exercise rehabilitation of patients with coronary heart disease stent implantation.Methods A total of 88 cases of coronary heart disease were treated with stent implantation at the Seventh People's Hospital in Zhengzhou City between January 2021 and December 2022.These patients were selected as a research sample due to their fear of exercise.In a randomized,interval-based study,the control and experimental groups were established.The control group received conventional care(44 cases),while the experimental group received conventional care and a novel dual heart care model(44 cases).The changes in the scores for the Tampa Scale of KinesiophobiaHeart(TSK-SV Heart),General Self-E fficacy Scale(GSES),and short form 36 questionnaire(SF-36)were evaluated before and after the nursing care.Results Prior to the implementation of nursing care,no statistically significant difference was observed between the TSK-SV Heart scores of the two groups(P>0.05).However,following the introduction of nursing care,the experimental group exhibited lower TSK-SV Heart scale scores for danger perception,motor fear,motor avoidance,and dysfunction than the control group(P<0.05).Prior to nursing care,no statistically significant difference was observed between the GSES scores of the two groups(P>0.05).However,following nursing care,the experimental group exhibited higher pain management and symptom coping scores,as well as a higher somatic function score,on the GSES scale,compared to the control group.These differences were statistically significant(P<0.05).Prior to the implementation of nursing care,the SF-36 scores of the two groups of patients were compared,and no statistically significant differences were observed(P>0.05).Following the introduction of nursing care,the experimental group exhibited higher life scores in all dimensions compared to the control group,and the difference was statistically significant(P<0.05).Conclusion The implementation of the dual heart care model for patients with exercise fear in patients undergoing coronary stent implantation has the potential to significantly improve their exercise fear and enhance their self-efficacy and quality of life.This approach is therefore worthy of further investigation.

dual heart nursing modecoronary heart diseasestent implantationexercise fearself-efficacylife quality

王丹丹

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郑州市第七人民医院 健康体检科,河南 郑州 450048

双心护理模式 冠心病 支架植入术 运动恐惧 自我效能 生活质量

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(7)