|本期目录/Table of Contents|

[1]刘娟.基于行为转变理论的延伸护理网络平台对冠心病患者的干预效果[J].慢性病学杂志,2020,21(11):1641-1645.
　LIU Juan.The intervention effect of extended nursing network platform on patients with coronary heart disease based on behavioral change theory[J].,2020,21(11):1641-1645.
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基于行为转变理论的延伸护理网络平台对冠心病患者的干预效果

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
21
期数:
2020年11期
页码:
1641-1645
栏目:
论　著
出版日期:
2020-11-28

文章信息/Info

Title:
The intervention effect of extended nursing network platform on patients with coronary heart disease based on behavioral change theory
作者:
刘娟
内蒙古自治区人民医院护理部，呼和浩特 010000
Author(s):
LIU Juan
NursingDepartmentof InnerMongoliaAutonomousRegion People’sHospital,Hohhot010000,China Correspondingauthor:LIUJuan,E-mail:2020607271@qq.com
关键词:
冠状动脉粥样硬化性心脏病; 行为转变理论; 延伸护理; 网络平台
Keywords:
Coronary atherosclerotic heart disease;  Behavioral change theory;  Nursing extension;  Network platform
分类号:
R271.9
DOI:
-
摘要:
目的 探讨基于行为转变理论的延伸护理网络平台对冠心病患者的干预效果，为提高护理效果作参考。 方法 选取2017年10月—2018年3月内蒙古自治区人民医院收治的160例冠心病患者，随机分为对照组和观察 组，每组80例。对照组出院后给予常规院外随访及一般性健康管理，观察组出院后给予基于行为转变理论的延伸 护理，两组均持续干预6个月。护理前后，采用冠心病自我管理行为量表（CSMS）评估并比较两组冠心病自我 管理行为，采用欧洲五维健康量表（EQ-5D）评估并比较两组健康状态，包括行动能力（M）、自我照顾能力 （S）、日常活动能力（U）、不适或疼痛感（P）、焦虑或抑郁（A）。检测并比较两组血脂指标[甘油三酯（TG）、总 胆固醇（TC）、高密度脂蛋白（HDL-C）及低密度脂蛋白（LDL-C）]；统计并比较两组护理期间新发不良事 件。结果 两组患者出院6个月时的新发心血管不良事件比较，差异无统计学意义（P>0.05），观察组血脂控制 指标中TG、TC、LDL-C水平均较对照组降低，HDL-C水平较对照组升高，差异有统计学意义（P<0.05）； 与对照组比较，观察组患者CSMS得分更高，差异有统计学意义（P<0.05）；观察组EQ-5D评分中，M、S、 A3个维度得分低于对照组，差异有统计学意义（P<0.05），U、P2个维度的评估结果与对照组比较，差异无统计 学意义（P>0.05）。结论 构建基于行为转变理论的冠心病延伸护理网络平台，可以优化冠心病患者院外延伸护 理路径及程序，有效促进了患者的健康管理行为。
Abstract:
Objective To explore the effect of extended nursing network platform based on behavioral change theory on patients with coronary heart disease, in order to improve the nursing effect for refer-ence. Methods 160 patients with coronary heart disease admitted to the Inner Mongolia Autonomous Region People’s Hospital from October 2017 to March 2018 were randomly divided into control group and observation group, with 80 patients in each group. The control group was given routine out-of-hospital follow-up and general health management after discharge, while the observation group was giv-en extended nursing based on behavioral change theory after discharge. Both groups were continuously interned for 6 months. Nursing before and after, using the coronary heart disease self-management be-havior scale（CSMS）to evaluate and compare the two groups of coronary heart disease self-manage-ment behavior, using European five-dimensional health scale（EQ-5D）to evaluate and compare the two groups of health status, to detect and compare the two groups of blood lipid parameters [triglycer-ide （TG）, total cholesterol（TC）, high-density lipoprotein（HDL-C）and low density lipoprotein （LDL-C）] ; statistics and comparison of new adverse events occurred during nursing between the twogroups. Results There was no statistically significant difference between the two groups in the inci-dence of new cardiovascular adverse events 6 months after discharge（P>0.05）. The levels of TG, TC and LDL-C in the observation group were all lower than those in the control group, and the leve of HDL-C was higher than that in the control group, and the differences were statistically significant （P<0.05）. Compared with the control group, patients in the observation group scored higher in CSMS self-management behavior, and the difference was statistically significant（P<0.05）. In the EQ-5D score of the observation group, the scores of M, S and A were lower than those of the control group, with statistically significant differences（P<0.05）. The evaluation results of U and P were sim-ilar, with no statistically significant differences （P>0.05）. Conclusion The establishment of extended nursing network platform for coronary heart disease based on behavioral change theory can optimize the extended nursing path for patients with coronary heart disease and effectively promote the health man-agement ability of patients.

参考文献/References:

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备注/Memo

备注/Memo:
作者简介：刘娟，大学本科，副主任护师，研究方向：内科疾病护理、护理管理、护理培训 通信作者：刘娟，E-mail: 2020607271@qq.com
更新日期/Last Update: 2020-11-28