摘要
目的探究动机行为转化策略下的多轨道专科护理在永久性心脏起搏器植入术后患者中的应用效果,并讨论对其心理状态及生活质量的影响。方法选取2019年6月至2020年10月于河南省人民医院接受永久性心脏起搏器植入术治疗的110例患者,按照入院顺序编号分组,奇数为对照组,偶数为研究组,各55例。对照组接受常规护理,研究组接受动机行为转化策略下的多轨道专科护理。比较两组心理状态、生活质量水平、主要不良心血管事件(MACE)发生情况及依从性。结果干预后研究组贝克焦虑量表(BAI)、贝克抑郁量表21版项(BDI-21)评分低于对照组(P<0.05)。研究组MACE发生率低于对照组(3.64%比16.36%,P<0.05)。研究组依从率高于对照组(94.55%比78.18%,P<0.05)。干预后研究组诺丁汉健康量表(NHP)评分低于对照组(P<0.05)。结论基于动机行为转化策略的多轨道专科护理可有效改善患者永久性心脏起搏器植入术后负面情绪,提高其依从性和生活质量,减少MACE的发生。
Objective To explore the application effect of multi-track specialist nursing under the strategy of motivation-behavior transformation in patients after permanent cardiac pacemaker implantation,and discuss the impact on their mental state and quality of life.Methods A total of 110 patients who underwent permanent pacemaker implantation in Henan Provincial People’s Hospital from June 2019 to October 2020 were selected.The patients were divided into groups according to the order of admission.The odd numbers were control group and the even numbers were study group,with 55 cases in each group.Control group received routine nursing care,and study group received multi-track specialist nursing under the strategy of motivational behavior transformation.The psychological status,quality of life,major adverse cardiovascular events(MACE)occurrence and compliance were compared between the two groups.Results After the intervention,the scores of the Baker Anxiety Inventory(BAI)and the Baker Depression Inventory 21(BDI-21)of study group were lower than those of control group(P<0.05).The incidence of MACE in study group was lower than that in control group(3.64%vs.16.36%,P<0.05).The compliance rate of study group was higher than that of control group(94.55%vs.78.18%,P<0.05).After the intervention,the Nottingham Health Profile(NHP)score of study group was lower than that of control group(P<0.05).Conclusion Multi-track specialist nursing based on motivational behavior transformation strategy could effectively alleviate the negative emotions of patients after permanent pacemaker implantation,improve their compliance and quality of life,and reduce the occurrence of MACE.
作者
李瑶瑶
时贤君
秦庆祝
Li Yaoyao;Shixianjun;Qinqingzhu(Second Department of Cardiovascular Comprehensive,Henan Provincial People’s Hospital,Zhengzhou 450003,China;First Department of Cardiovascular Comprehensive,Henan Provincial People’s Hospital,Zhengzhou 450003,China)
出处
《河南医学研究》
CAS
2021年第17期3230-3233,共4页
Henan Medical Research
关键词
永久性心脏起搏器植入术
多轨道专科护理
动机行为转化策略
permanent cardiac pacemaker implantation
multi-track specialist nursing
motivational behavior transformation strategy
