本文選題：冠心病 + 健康行為��； 參考：《中國(guó)全科醫(yī)學(xué)》2017年19期

【摘要】：目的探討"生命網(wǎng)"健康行為能力干預(yù)對(duì)冠心病患者生存質(zhì)量的影響,為臨床護(hù)理干預(yù)提供新的方法和思路。方法選取2015年11月—2016年2月在唐山市工人醫(yī)院心血管內(nèi)科住院治療且符合納入標(biāo)準(zhǔn)的冠心病患者127例,采用隨機(jī)數(shù)字表法分為對(duì)照組63例和干預(yù)組64例。兩組患者入院后均建立"生命網(wǎng)"檔案,入院72 h內(nèi)采用中文版西雅圖心絞痛量表(SAQ)測(cè)評(píng)兩組患者的生存質(zhì)量。對(duì)照組住院期間依據(jù)測(cè)評(píng)結(jié)果進(jìn)行常規(guī)護(hù)理,出院后定期組織患者參加心血管內(nèi)科舉辦的"生命網(wǎng)"講座及門診隨訪;干預(yù)組在對(duì)照組基礎(chǔ)上給予"生命網(wǎng)"健康行為能力干預(yù),從健康行為的飲食、運(yùn)動(dòng)、壓力管理、人際關(guān)系及健康責(zé)任5個(gè)方面進(jìn)行干預(yù)。出院6個(gè)月后再次測(cè)評(píng)兩組患者的生存質(zhì)量。結(jié)果干預(yù)組隨訪過(guò)程中失訪3例,最終完成61例。對(duì)照組隨訪過(guò)程中死亡1例、失訪4例,最終完成58例。干預(yù)前兩組患者軀體活動(dòng)受限程度、心絞痛穩(wěn)定狀態(tài)、心絞痛發(fā)作情況、治療滿意度、疾病認(rèn)識(shí)程度評(píng)分及SAQ總分比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。干預(yù)后兩組患者軀體活動(dòng)受限程度評(píng)分比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);干預(yù)后干預(yù)組患者心絞痛穩(wěn)定狀態(tài)、心絞痛發(fā)作情況、治療滿意度、疾病認(rèn)識(shí)程度評(píng)分及SAQ總分高于對(duì)照組(P0.05)。干預(yù)組干預(yù)后SAQ各維度評(píng)分及SAQ總分高于干預(yù)前(P0.05);對(duì)照組干預(yù)后心絞痛穩(wěn)定狀態(tài)、心絞痛發(fā)作情況和疾病認(rèn)識(shí)程度評(píng)分高于干預(yù)前(P0.05);對(duì)照組干預(yù)后軀體活動(dòng)受限程度、治療滿意度評(píng)分及SAQ總分與干預(yù)前比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論 "生命網(wǎng)"健康行為能力干預(yù)能夠改善冠心病患者的生存質(zhì)量。
[Abstract]:Objective to explore the effect of health behavior intervention on the quality of life of patients with coronary heart disease, and to provide new methods and ideas for clinical nursing intervention. Methods 127 patients with coronary heart disease which were hospitalized in the Department of cardiovascular medicine in Tangshan City workers' hospital from November 2015 to February 2016 were selected and the randomized digital table method was used. 63 cases in the control group and 64 cases in the intervention group. The "life network" files were set up in the two groups, and the Chinese version of Seattle angina scale (SAQ) was used to evaluate the quality of life in the two groups of patients within 72 h. The control group was given regular nursing according to the results of the assessment, and the patients were regularly organized to participate in the "life network" held in the cardiovascular medicine department after discharge. The intervention group intervened in 5 aspects of health behavior, including diet, exercise, stress management, interpersonal relationship and health responsibility on the basis of the control group on the basis of the control group. After 6 months of discharge, the quality of life of the two groups of patients was evaluated again. Results the intervention group lost 3 cases during the follow-up process and finished the final completion. In the 61 cases, there were 1 cases of death in the control group, 4 cases lost and 58 cases completed. Before intervention, the degree of physical activity limitation, angina stable state, angina pectoris, treatment satisfaction, disease awareness and SAQ total score were not statistically significant (P0.05). After intervention, the degree of physical activity limitation in the two groups was evaluated. The difference was not statistically significant (P0.05). After intervention, the patients with angina pectoris stable state, angina pectoris, treatment satisfaction, disease awareness score and SAQ total score were higher than the control group (P0.05). The scores of SAQ dimensions and the total SAQ score of the intervention group were higher than those before the intervention (P0.05); the control group had a stable state of angina pectoris after the intervention group. The score of angina pectoris attack and disease awareness was higher than that before intervention (P0.05). There was no significant difference in the degree of physical activity limitation in the control group, the score of treatment satisfaction and the total score of SAQ before intervention (P0.05). Conclusion the health behavior ability intervention of "life network" could improve the quality of life of patients with coronary heart disease.
【作者單位】： 華北理工大學(xué)護(hù)理與康復(fù)學(xué)院;
【基金】：河北省科技計(jì)劃項(xiàng)目(16277787D)
【分類號(hào)】：R473.5

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