网络延续性护理在冠心病患者PCI术后居家照护中的作用

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摘要目的探讨网络延续性护理在冠心病患者冠状动脉支架植入（PCI）术后居家照护中的作用。方法选取2019年1月至2020年5月九江学院附属医院收治的80 例PCI 术后患者作为研究对象，采用随机数字表法分为对照组（40 例）与观察组（40 例）。对照组实施常规延续护理，观察组在对照组基础上实施网络延续性护理，持续干预1年。干预6 个月、1年后，评价两组的服药依从性[Morisky 服药依从性量表（MMAS-8）]、自我护理能力[自我护理能力量表（ECSA）]、自我效能感[一般自我效能感量表（GSES）]、健康知识知晓率及护理满意度。结果对照组干预1年后的MMAS-8、ECSA、GSES 评分高于本组干预6 个月后，差异有统计学意义（P＜0.05）；观察组干预1年后的MMAS-8、ECSA、GSES 评分高于本组干预6 个月后，差异有统计学意义（P＜0.05）；干预6 个月后，观察组的MMAS-8、ECSA、GSES 评分高于同期对照组，差异有统计学意义（P＜0.05）；干预1年后，观察组的MMAS-8、ECSA、GSES 评分高于同期对照组，差异有统计学意义（P＜0.05）。对照组干预1年后的健康知识知晓率、护理总满意率与本组干预6 个月后比较，差异无统计学意义（P＞0.05）；观察组干预1年后的护理总满意率与本组干预6 个月后比较，差异无统计学意义（P＞0.05）；观察组干预1年后的健康知识知晓率高于本组干预6 个月后，差异有统计学意义（P＜0.05）；干预6 个月后，观察组的健康知识知晓率、护理总满意率高于同期对照组，差异有统计学意义（P＜0.05）；干预1年后，观察组的健康知识知晓率、护理总满意率高于同期对照组，差异有统计学意义（P＜0.05）。结论网络延续性护理运用于冠心病患者PCI 术后居家照护中，可提高患者健康知识知晓率，提升自我护理能力和自我效能感，获得更高的护理满意度。

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	曹娟娟
	程小鸿
	郑晓
	虞晓琴
	王金花
	卢红

关键词 ：冠心病, 冠状动脉支架植入术, 网络延续性护理, 服药依从性, 自我护理能力, 自我效能感

Abstract： Objective To explore the network continuity of function of nursing home care after percutaneous coronary intervention (PCI) in patients with coronary heart disease. Methods From January 2019 to May 2020, a total of 80 postoperative patients with PCI admitted to the Affiliated Hospital of Jiujiang University were selected as the research objects, and divided into the control group (40 cases) and the observation group (40 cases) according to the random number table method. The control group implemented routine continuing care, and the observation group implemented network continuity nursing on the basis of the control group, and continued to intervene for 1 year. After 6 months and 1 year of intervention, the two groups were evaluated for medication adherence (morisky medication adherence scale [MMAS-8]),self-care ability (self-care energy strength scale [ECSA]), self-efficacy (general self-efficacy scale [GSES]), health knowledge awareness and nursing satisfaction. Results The scores of MMAS-8, ECSA and GSES in the control group after one year of intervention were higher than those in this group for after 6 months of intervention, and the differences were statistically significant (P＜0.05). The scores of MMAS-8, ECSA and GSES in the observation group after one year of intervention were higher than those in this group for after 6 months of intervention, and the differences were statistically significant (P＜0.05). After 6 months of intervention, the MMOS-8, ECSA and GSES scores of the observation group were higher than those of the control group in the same period, and the differences were statistically significant(P＜0.05). After one year of intervention, the MMAS-8, ECSA and GSES scores of the observation group were higher than those of the control group in the same period, and the differences were statistically significant (P＜0.05). The health knowledge awareness rate and total nursing satisfaction rate of the control group after one year of intervention were not significantly different from those of this group after 6 months of intervention (P＞0.05). The overall satisfaction rate of care in the observation group after one year of intervention was not significant compared with that of this group after 6 months of intervention (P＞0.05). The health knowledge awareness rate of the observation group after one year of intervention was higher than that of this group after 6 months of intervention, and the difference was statistically significant(P＜0.05). After 6 months of the intervention, the health knowledge awareness rate and the overall satisfaction rate of nursing care in the observation group were higher than those in the control group in the same period, and the differences were statistically significant (P＜0.05). After one year of intervention, the health knowledge awareness rate and total nursing satisfaction rate of the observation group were higher than those in the control group in the same period, and the differences were statistically significant (P＜0.05). Conclusion Network continuity nursing is applied to the postoperative home care of patients with coronary heart disease, which can improve the patient's health knowledge awareness rate, improve self-care ability and self-efficacy, and obtain higher nursing satisfaction.

Key words： Coronary heart disease Percutaneous coronary intervention Network continuous care Medication compliance Self-care ability Self-efficacy

基金资助:江西省卫生计生委科技计划项目（202131098）。

引用本文:

曹娟娟；程小鸿；郑晓；虞晓琴；王金花；卢红. 网络延续性护理在冠心病患者PCI术后居家照护中的作用[J]. 中国当代医药, 2022, 29(4): 167-170.
CAO Juanjuan；CHENG Xiaohong；ZHENG Xiao；YU Xiaoqin；WANG Jinhua；LU Hong. Network continuity of function of nursing home care after PCI in patients with coronary heart disease. 中国当代医药, 2022, 29(4): 167-170.

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https://www.dangdaiyiyao.com/CN/ 或 https://www.dangdaiyiyao.com/CN/Y2022/V29/I4/167

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