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基于自我效能理论的护理干预在心力衰竭患者易损期的应用
贾霞1      刘静悦1      李元飞2▲
1.滨州医学院烟台附属医院心血管内科,山东烟台   264100;
2.滨州医学院烟台附属医院护理部,山东烟台   264100
Application of nursing intervention based on self-efficacy theory in patients with heart failure in vulnerable period#br#
JIA Xia1   LIU Jingyue1   LI Yuanfei2▲
1.Department of Cardiology, Yantai Affiliated Hospital of Binzhou Medical University, Shandong Province, Yantai   264100, China; 
2.Department of Nursing, Yantai Affiliated Hospital of Binzhou Medical University, Shandong Province, Yantai   264100, China
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摘要 目的 探讨基于自我效能理论的护理干预在心力衰竭患者易损期的应用效果。 方法 选取2019年10月至2020年12月滨州医学院烟台附属医院收治的91例心力衰竭易损期患者作为研究对象,以随机数字表法将其分为对照组(45例)和观察组(46例)。对照组采用常规护理,观察组采用5A模式、基于自我效能理论的护理干预。比较两组心功能指标、转诊率、再住院率、死亡率情况。 结果 护理后观察组左心室射血分数(LVEF)高于对照组,左心室收缩末期容积(LVESV)、左心室舒张末期容积(LVEDV)、左心室舒张末期内径(LVEDD)低于对照组,差异有统计学意义(P < 0.05)。护理后两组LVEF高于护理前,LVESV、LVEDV、LVEDD低于护理前,差异有统计学意义(P < 0.05)。观察组转诊率高于对照组,再住院率低于对照组,差异有统计学意义(P < 0.05)。两组死亡率比较,差异无统计学意义(P > 0.05)。 结论 自我效能理论下实施护理干预,在改善疾病易损期患者预后中优势明显。
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贾霞1 刘静悦1 李元飞2▲
关键词 自我效能护理干预心力衰竭易损期    
Abstract:Objective To explore the application effect of nursing intervention based on self-efficacy theory in the vulnerable period of heart failure patients. Methods A total of 91 patients with heart failure at the vulnerable stage who were admitted to the Yantai Affiliated Hospital of Binzhou Medical College from October 2019 to December 2020 were selected as the research objects. They were divided into control group (45 cases) and observation group (46 cases) by random number table method. The control group was treated with routine nursing, while the observation group was treated with 5A mode nursing intervention based on self-efficacy theory. The cardiac function indexes, referral rate, rehospitalization rate, and mortality rate were compared between the two groups. Results After nursing, the left ventricular ejection fraction (LVEF) of the observation group was higher than that of the control group, while the left ventricular end systolic volume (LVESV), left ventricular end diastolic volume (LVEDV), and left ventricular end diastolic diameter (LVEDD) were lower than those of the control group, and the differences were statistically significant (P < 0.05). The LVEF of the two groups after nursing was higher than that before nursing, while LVESV, LVEDV, and LVEDD were lower than before nursing, and the differences were statistically significant (P < 0.05). The referral rate of the observation group was higher than that of the control group, while the rate of rehospitalization was lower than that of the control group, and the difference was statistically significant (P < 0.05). There was no statistically significant difference in mortality between the two groups (P > 0.05). Conclusion The implementation of nursing intervention under the theory of self-efficacy has obvious advantages in improving the prognosis of patients in the vulnerable stage of the disease.
Key wordsSelf-efficacy    Nursing intervention    Heart failure    Vulnerable period
    
基金资助:山东省烟台市科技计划项目(2021YD074)。
通讯作者: ▲通讯作者   
引用本文:   
贾霞1 刘静悦1 李元飞2▲. 基于自我效能理论的护理干预在心力衰竭患者易损期的应用[J]. 中国医药导报, 2022, 19(1): 173-176.
JIA Xia1 LIU Jingyue1 LI Yuanfei2▲. Application of nursing intervention based on self-efficacy theory in patients with heart failure in vulnerable period#br#. 中国医药导报, 2022, 19(1): 173-176.
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https://www.yiyaodaobao.com.cn/CN/     或     https://www.yiyaodaobao.com.cn/CN/Y2022/V19/I1/173

 

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