知信行模式干预对冠心病患者经皮冠状动脉支架植入术后健康行为及焦虑抑郁情绪的影响-现代医学

知信行模式干预对冠心病患者经皮冠状动脉支架植入术后健康行为及焦虑抑郁情绪的影响

单位：1. 海军军医大学附属长海医院心内科, 上海 200438;
2. 海军军医大学附属长海医院输血科, 上海 200438

分类号：R473.5

出版年·卷·期（页码）：2018·46·第八期（938-942）

摘要：

目的：探究知信行模式干预对冠心病患者经皮冠状动脉支架植入（PCI）术后健康行为及焦虑抑郁情绪的影响。方法：选择2015年1月~2017年1月间进行PCI术的冠心病患者128例，随机分为两组各64例，对照组使用常规护理方法，观察组进行"知信行"护理，比较两组患者护理后1年的复发情况，以及护理前后冠心病知识、生活质量[中国心血管病人生活质量评定问卷（CQQC）评分]、健康行为[健康行为量表（HLP）]和焦虑抑郁[焦虑自评量表（SAS）和抑郁自评量表（SDS）评分]情况。结果：观察组复发率显著低于对照组（χ²=8.645，P=0.000）。护理后观察组对于冠心病相关知识的认知显著优于对照组（t=6.432，P=0.000）。护理后观察组的CQQC评分、HLP评分均显著高于对照组（P<0.05）。护理后观察组SAS和SDS评分均显著低于对照组（t=5.124，P=0.000；t=7.864，P=0.000）。结论：通过"知信行模式"干预可有效提高接受PCI术的冠心病患者的健康行为，缓解焦虑、抑郁情绪，提高其生活质量，降低复发率。

Objective:To explore the effect of knowledge attitude practice nursing mode on health behavior, anxiety and depression after percutaneous coronary stenting in patients with coronary heart disease. Methods:128 patients with coronary artery disease who underwent PCI from January 2015 to January 2017 were randomly divided into control group and observation group, 64 patients in each. The control group used conventional nursing methods. The observation group received "knowledge attitude practice" nursing. The recurrence of one year after nursing, coronary heart disease knowledge, quality of life, health behavior and anxiety and depression before and after nursing were compared. Results:The recurrence rate in the observation group was significantly lower than that in the control group (P<0.05). After treatment, the observation group had significantly better knowledge of coronary heart disease than the control group (P<0.05). The CQQC score and HLP score of the observation group after treatment were significantly higher than those of the control group (P<0.05). The scores of SAS and SDS in the observation group after treatment were significantly lower than those in the control group (P<0.05). Conclusion:The knowledge attitude practice nursing mode can effectively improve the health behavior of coronary heart disease patients undergoing PCI, relieve anxiety, depression, improve their quality of life, and reduce the recurrence rate.

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