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、QOL-35量表评分及服药依从性的影响-现代医学

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、QOL-35量表评分及服药依从性的影响

单位：绵阳市中心医院手术室, 四川绵阳 621000

分类号：R473.5

出版年·卷·期（页码）：2020·48·第十期（1351-1354）

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 onprotective 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 theirmedication compliance.

参考文献：

[1] OLGIN J E,PLETCHER M J,VITTINGHOFF E,et al.Wearable cardioverter-defibrillator after myocardial infarction[J].N Engl J Med,2018,379(13):1205-1215.
[2] ZHANG X,YE Y,YANG C,et al.Clinical significance of increased urotensin Ⅱ levels in acute myocardial infarction[J].Discov Med,2018,26(141):7-20.
[3] 苏丹丹,杨靓.急性心肌梗死经皮冠状动脉介入治疗术后综合护理分析[J].中国预防医学杂志,2018,19(8):637-640.
[4] 康烁,田素斋,高俊香,等.基于保护动机理论的护理干预对糖尿病患者血糖监测的影响[J].中国护理管理,2016,16(2):242-246.
[5] 李大严,李小华,黎福理,等.临床护理路径对急性ST段抬高型心肌梗死行PCI术患者情绪状态和生活质量的影响[J].广东医学,2018,39(10):1590-1592.
[6] WHITE K,MACFARLANE H,HOFFMANN B,et al.Consensus statement of standards for interventional cardiovascular nursing practice[J].Heart Lung Circ,2018,27(5):535-551.
[7] 杨柳,王丽丽.Roy模式联合替罗非班对早期急性心肌梗死行PCI患者凝血指标和情绪改善的作用[J].现代医学,2020,48(4):544-547.
[8] 刘贞,邓远琼,陈凯云,等.保护动机理论对血液透析患者液体摄入依从性的影响[J].实用医学杂志,2015,31(17):2914-2917.
[9] GUZELHAN Y,CONKBAYIR C,UGURLUCAN M,et al.Gender differences in patients with anxiety after coronary artery bypass surgery[J].Heart Surg Forum,2018,21(3):E165-E169.
[10] 顾岩,丰小星,周莹莹,等.保护动机护理干预在冠状动脉介入术后患者自我管理中的应用[J].护理学报,2016,23(23):59-63.
[11] 刘方.基于保护动机理论的延续性护理干预对脑卒中后遗症患者遵医行为及家属负性情绪的影响[J].中国实用神经疾病杂志,2017,20(10):127-129.
[12] 田彦,张建欣,许燕,等.基于保护动机理论患者护理的应用进展[J].护理学报,2017,24(22):23-27.
[13] 余方珍,吴晓霞.医院-社区-家庭护理干预对2型糖尿病患者饮食控制的影响[J].中国健康教育,2017,33(1):82-84.
[14] 陈洁,吴茜,程小霁.对妊娠期糖尿病患者基于保护动机理论的护理干预[J].护理学杂志,2017,32(6):25-27.
[15] 周娜,侯爱和,刘丽,等.保护动机理论在糖尿病高危足患者护理干预中的应用[J].解放军护理杂志,2014,31(4):6-10.

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