摘要
目的:探索基于保护动机理论的护理模式对急性心肌梗死病人术后不良反应积分、生存质量(QOL)-35量表评分及服药依从性的影响。方法:将于我院接受经皮冠状动脉介入术(PCI)治疗的110例急性心肌梗死(AMI)患者随机分为对照组和观察组,各55例。对照组接受常规护理,观察组接受基于保护动机理论的护理干预。比较两组汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)评分、不良反应积分、QOL-35量表评分及服药依从性。结果:护理干预后,两组HAMD、HAMA评分及不良反应积分均显著降低,观察组的HAMD、HAMA评分及不良反应积分均低于对照组(P<0.05);两组QOL-35量表评分中除生活环境评分无明显改变外,余各项评分均明显提高,且观察组高于对照组(P<0.05);观察组服药依从率为94.55%,高于对照组的81.82%(Z=-2.160,P=0.031)。结论:基于保护动机理论的护理模式可促使AMI患者不良心理状态的恢复,针对患者术后康复过程中遇到的问题进行指导,可提升患者服药依从性。
Objective:To explore the effects of nursing model based on protective motivation theory on scores of postoperative adverse reactions,QOL-35 scale and medication compliance in patients with acute myocardial infarction.Methods:110 patients with acute myocardial infarction(AMI)who received percutaneous coronary intervention in our hospital were randomly divided into control group and observation group,55 cases in each.The control group received routine nursing,and the observation group received nursing intervention based on protective motivation theory.The scores of Hamilton Depression scale(HAMD)and Hamilton Anxiety Scale(HAMA),adverse reactions,Quality of Life(QOL)-35 scale and medication compliance were compared between the two groups.Results:After nursing intervention,the scores of HAMD,HAMA and adverse reactions in the two groups were decreased,and those in the observation group were lower than those in the control group(P<0.05).The QOL-35 scores in the two groups increased except the living environment scores,and those in the observation group were higher than those in the control group(P<0.05).The drug compliance rate in the observation group was 94.55%,which was higher than 81.82%in the control group(z=-2.160,P=0.031).Conclusion:The nursing model based on protective motivation theory can promote the psychological state recovery of patients with AMI.It can provide guidance for the problems encountered by the patients during the postoperative rehabilitation process and improve their medication compliance.
作者
赵文君
陶丹
薛小静
ZHAO Wenjun;TAO Dan;XUE Xiaojing(Operating Room,Mianyang Central Hospital,Mianyang 621000,China)
出处
《现代医学》
2020年第10期1351-1354,共4页
Modern Medical Journal
关键词
急性心肌梗死
保护动机理论
护理模式
acute myocardial infarction
protective motivation theory
nursing model
作者简介
赵文君(1976),女,四川绵阳人,副主任护师。E⁃mail:sunyongfeng11212@126.com。
