摘要
目的 探讨信息素养教育干预对冠脉介入患者疾病不确定感的作用.方法 选择2010年7月至2012年6月在我院心内科住院,行冠脉介入术治疗的冠心病患者228例,应用随机数字表法将患者分为实验组1 19例与对照组109例；对照组患者给予传统护理干预,实验组患者在传统护理基础上,实施信息素养教育干预,分析、比较在两种护理干预状态下3个时点（入院当天、术前一晚、出院当天）患者疾病不确定感水平与状态焦虑水平的变化.结果 实验组患者入院当天疾病不确定感处于较高水平（99.1±74.46）分,明显大于总分50％（80分）；与入院当天比较,术前一晚及出院当天疾病不确定感水平显著下降.实验组患者入院当天状态焦虑水平为（52.97±5.91）分,高于我国常模焦虑水平.与入院当天比较,术前一晚及出院当天状态焦虑水平显著下降,且低于常模.与对照组比较,实验组术前一晚、出院当天疾病不确定感、状态焦虑水平明显下降.结论 信息素养教育干预可以降低患者疾病不确定感水平与状态焦虑水平,从而提高冠脉介入患者的护理质量.
Objective To investigate the effects of intervention of information literacy education on the feeling of uncertainty of patients with percutaneous coronary intervention.Methods A total of 228 cases of patients with percutaneous coronary intervention who were hospitalized during July 2010 to June 2012 were selected.The patients were divided into two groups by means of random numbers table：the experimental group （including 119 cases） and the control group （including 109 cases）.The patients of the control group received traditional nursing intervention,while the patients of the experimental group received additional information literacy education intervention besides the traditional nursing.The change of feeling of uncertainty and state anxiety level of patients under two kinds of nursing interventions was analyzed and compared.Results The patients of the experimental group had high uncertainty level on the day of admission,（99.17-4.46） points.It was obviously higher than the total score （80） by 50％.Compared with that on the day of admission,the uncertainty level on the night before surgery and on the day of patient discharge significantly declined.The state anxiety level of the patients of the experimental group was （52.97±5.91） points,higher than the normative level of Chinese normal people.Compared with that on the day of admission,the state anxiety level on the night before surgery and on the day of patient discharge significantly declined,and it was lower than the normative level.Compared with those of the control group,the MUIS and SAI assessment of the experimental group on the night before surgery and the day of patient discharge obviously declined.Conclusions The information literacy education intervention was able to reduce the uncertainty level and state anxiety level of patients with percutaneous coronary intervention.Therefore,the nursing quality of patients was enhanced.
出处
《中国实用护理杂志》
北大核心
2013年第24期4-7,共4页
Chinese Journal of Practical Nursing
基金
2010年度湖北省教育厅科研项目（B20102104）
关键词
经皮冠状动脉介入诊治术
信息素养教育
冠心病
疾病不确定感
状态焦虑
Percutaneous coronary intervention
Information literacy education
Coronary heart disease
Uncertainty in illness
State anxiety
