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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:

26卷

期数:

2020年06期

页码:

545-548

栏目:

临床医学

出版日期:

2020-11-20

文章信息/Info

Title:

Effect of psychological nursing on self-efficacy and quality of life in patients after percutaneous coronary intervention

作者:

徐莉莉; 王春梅

天津医科大学护理学院，天津 300070

Author(s):

XU Li-li; WANG Chun-mei

Nursing College，Tianjin Medical University, Tianjin 300070，China

关键词:

冠心病; 经皮冠状动脉介入术; 自我效能; 生活质量; 心理护理

Keywords:

coronary heart disease;  percutaneous coronary intervention;  self-efficacy;  quality of life;  psychological nursing

分类号:

R749.055+R543.3

DOI:

-

文献标志码:

A

摘要:

目的：探讨经皮冠状动脉介入治疗术后患者自我效能与生活质量的相关性，并分析心理护理对两者的影响。方法：选择自2019年1月-2019年4月于我科进行经皮冠状动脉介入手术治疗的患者共80例作为观察组，另选择在同一时期于我院进行体检的健康志愿者共80名作为对照组。对研究对象的自我效能状况、生活质量水平进行调查，比较观察组与对照组的自我效能评分、生活质量评分，并分析自我效能评分与生活质量评分的相关性。同时，对观察组患者在常规护理基础上给予心理护理，比较心理护理干预前后自我效能及生活质量评分的变化。结果：（1）观察组的自我效能评分显著低于对照组评分（t=7.021，P<0.05）。(2)观察组的生活质量评分在生理领域、心理领域、社会关系领域、环境领域等各方面均低于对照组（t=9.973、11.494、10.932、10.720，均P<0.05）。（3）经线性相关分析发现，观察组患者自我效能与生理领域、心理领域、社会关系领域、环境领域生活质量指标均呈正相关（r=0.760、0.749、0.758、0.706，均P<0.05）。（4）观察组在心理护理干预后，自我效能评分较干预前有显著提升（t=6.013，P<0.05）。（5） 观察组在心理护理干预后，患者的生活质量评分于生理领域、心理领域、社会关系领域、环境领域方面较干预前均有显著提升（t=7.638、9.664、9.542、9.162，均P<0.05）。结论：冠心病患者经皮冠状动脉介入术后的自我效能、生活质量水平普遍低于健康人群，而其自我效能与生活质量密切相关，且心理护理可有效提升患者的自我效能及生活质量水平。

Abstract:

Objective: To study the correlation between self-efficacy and quality of life of patients after percutaneous coronary intervention (PCI), and analyze the influence of psychological nursing on them. Methods: A total of 80 cases of patients with coronary heart disease who underwent percutaneous coronary intervention in our department from January 2019 to April 2019 were selected as observation group, and 80 cases of volunteers who underwent physical examination in our hospital during the same period were selected as control group. The self-efficacy status and life quality of the subjects were investigated and compared between the observation group and the control group. The correlation between self-efficacy and quality of life in patients were analyzed. At the same time, the patients in the observation group were given psychological nursing on the basis of routine nursing, and the changes of self-efficacy and quality of lifes score were compared before and after psychological nursing intervention. Results:（1） The self-efficacy score of the observation group was significantly lower than that of the control group （t=7.021，P<0.05）. （2） In the observation group, the scores of quality of life in the physiological, psychological, social and environmental fields were lower than those in the control group（t=9.973, 11.494, 10.932, 10.720, P<0.05）． （3） Linear correlation analysis showed that there was a positive correlation in observation group between self-efficacy and quality of life in the physiological, psychological, social and environmental fields（r=0.760, 0.749, 0.758, 0.706，P<0.05）. （4） After psychological nursing intervention, self-efficacy score in observation group was significantly increased compared with that before intervention（t=6.013，P<0.05）. （5） After psychological nursing intervention, quality of life scores in the physiological, psychological, social and environmental fields in observation group were significantly increased compared with those before intervention（t=7.638, 9.664, 9.542, 9.162，P<0.05）. Conclusion: The self-efficacy and quality of life of patients with coronary heart disease after percutaneous coronary intervention are generally lower than those of healthy people, and their self-efficacy is closely related to quality of life. Besides, psychological nursing can effectively improve patients′ self-efficacy and quality of life.

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备注/Memo

备注/Memo:

文章编号 1006-8147（2020）06-0545-04
作者简介 徐莉莉（1986-），女，主管护师，硕士在读，研究方向：心血管内科护理；通信作者：王春梅，E- mail:cmwang8543@126.com。

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更新日期/Last Update: 2020-11-20