[1]李冬兰,陈高飞.基于问题导向的护理干预对行冠状动脉旁路移植术患者自我管理能力、心理状态及生活质量的影响[J].新乡医学院学报,2023,40(5):473-477.[doi:10.7683/xxyxyxb.2023.05.014]
　LI Donglan,CHEN Gaofei.Effect of problem-oriented nursing intervention on self-management ability,psychological status and quality of life in patients undergoing coronary artery bypass grafting[J].Journal of Xinxiang Medical University,2023,40(5):473-477.[doi:10.7683/xxyxyxb.2023.05.014]
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基于问题导向的护理干预对行冠状动脉旁路移植术患者自我管理能力、心理状态及生活质量的影响
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
40卷
期数:
2023年5
页码:
473-477
栏目:
护理研究
出版日期:
2023-05-05

文章信息/Info

Title:
Effect of problem-oriented nursing intervention on self-management ability,psychological status and quality of life in patients undergoing coronary artery bypass grafting
作者:
李冬兰1; 陈高飞2
（1.河南省直第三人民医院心外科，河南　郑州　450006；2.河南省直第三人民医院护理部，河南　郑州　450006）
Author(s):
LI Donglan1; CHEN Gaofei2
(1.Department of Cardial Surgery,the Third People′s Hospital of Henan Province,Zhengzhou 450006,Henan Province,China;2.Department of Nursing,the Third People′s Hospital of Henan Province,Zhengzhou 450006,Henan Province,China)
关键词:
冠状动脉粥样硬化性心脏病; 冠状动脉旁路移植术; 问题导向; 自我管理能力; 心理状态
Keywords:
coronary atherosclerotic heart disease; coronary artery bypass grafting; problem-orientation; self-management ability; psychological status
分类号:
R473
DOI:
10.7683/xxyxyxb.2023.05.014
文献标志码:
A
摘要:
目的　探讨基于问题导向的护理干预对行冠状动脉旁路移植术（CABG）冠状动脉粥样硬化性心脏病（CAHD）患者自我管理能力、心理状态及生活质量的影响。
方法　选择2021年3月至2022年5月河南省直第三人民医院收治的97例CAHD患者为研究对象，所有患者行CABG，根据护理方法将患者分为观察组（n=48）和对照组（n=49）。对照组患者给予常规护理干预，观察组患者在常规护理基础上实施基于问题导向的护理干预，2组患者均干预6个月，对2组患者干预前后的自我管理能力、心理状态及生活质量进行比较。
结果　干预前2组患者自我管理量表（CSMS）总分及各维度评分比较差异均无统计学意义（P>0.05）；2组患者干预后CSMS总分及各维度评分均显著高于干预前（P<0.05）；干预后，观察组患者CSMS总分及各维度评分均显著高于对照组（P<0.05）。干预前2组患者焦虑自我评定量表（SAS）、抑郁自我评定量表（SDS）评分比较差异无统计学意义（P>0.05）；2组患者干预后SAS、SDS评分均显著低于干预前（P<0.05）；干预后，观察组患者SAS、SDS评分均显著低于对照组（P<0.05）。干预前2组患者中国心血管患者生活质量评定问卷（CQQC）总分及各维度评分比较差异均无统计学意义（P>0.05）。对照组患者干预前后医疗状态维度评分比较差异无统计学意义（P>0.05），2组患者干预后CQQC总分及其余各维度评分均显著高于干预前（P<0.05）；干预后，观察组患者CQQC总分及各维度评分均显著高于对照组（P<0.05）。
结论　基于问题导向的护理干预可提高行CABG的CAHD患者的自我管理能力，改善心理状态，并提高生活质量。
Abstract:
Objective　To investigate the effect of problem-oriented nursing intervention on self-management ability,psychological status and quality of life in patients with coronary atherosclerotic heart disease (CAHD) undergoing coronary artery bypass grafting (CABG).
Methods　A total of 97 CAHD patients admitted to the Third People′s Hospital of Henan Province from March 2021 to May 2022 were selected as the research subjects.All patients underwent CABG,and the patients were divided into observation group (n=48) and control group(n=49) according to the nursing methods.The patients in the control group were given routine nursing intervention for six months,and the patients in the observation group were given problem-oriented nursing intervention for six months on the basis of routine nursing.The self-management ability,psychological state and quality of life of patients were compared between the two groups before and after intervention.
Results　There was no significant difference in the total score and various dimension scores of the coronary artery disease self-management scale (CSMS) between the two groups before intervention (P>0.05).The total score and various dimension scores of CSMS of patients after intervention were significantly higher than those before intervention in the two groups (P<0.05).The total score and various dimension scores of CSMS of patients in the observation group were significantly higher than those in the control group after intervention (P<0.05).There was no significant difference in the scores of self-rating anxiety scale (SAS) and self-rating depression scale (SDS) of patients between the two groups before intervention (P>0.05).The SAS and SDS scores of patients in the two groups after intervention were significantly lower than those before intervention (P<0.05).The SAS and SDS scores of patients in the observation group were significantly lower than those in the control group after intervention (P<0.05).There was no statistically significant difference in the total score and various dimension scores of Chinese questionnaire of quality of life in patients with cardiovascular diseases (CQQC) of patients between the two groups before intervention (P>0.05).There was no significant difference in the scores of medical status dimension of patients in control group before and after intervention (P>0.05);the total scores and other various dimension scores of CQQC of patients after intervention were significantly higher than those before intervention in the two groups (P<0.05).The total scores and various dimension scores of CQQC of patients in the observation group were significantly higher than those in the control group after intervention (P<0.05).
Conclusion　The problem-oriented nursing intervention can improve the self-management ability,psychological status state and quality of life of CAHD patients undergoing CABG.

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更新日期/Last Update: 2023-05-05