周芹-品管圈护理对心肌梗死恢复期患者自我效能及预后的影响..docVIP

品管圈护理对心肌梗死恢复期患者自我效能及预后的影响628000 摘要：目的 探讨品管圈护理在心肌梗死恢复期中的应用效果。方法 以品管圈护理为分界点，将60例心肌梗死恢复的患者分为观察组和对照组，对照组采用常规护理，观察组采用品管圈护理，比较两组的健康知识掌握情况、面对疾病的自我效能感、预后以及生活质量。结果 观察组在疾病知识、用药知识、合理饮食、按时复查等方面的健康知识达标率高于对照组，自我效能感评分高于对照组，均有统计学意义(P0.05)。观察组的心脏性猝死、心肌梗死、恶性心律失常等发生率低于对照组，生活质量的改善率高于对照组，有统计学意义(P0.05)。结论 品管圈护理能够提高心肌梗死患者应对疾病的能力，改善预后和生活质量。 关键词：品管圈护理；心肌梗死；恢复期；自我效能；预后 The Effect of?quality control circle?nursing on?self efficacy?and prognosis of myocardial?infarction recovery patientsZhou Qin Zhang Fenlan Ma Hongbo Department of Cardiology, Guangyuan City Hospital of Sichuan 628000 Abstract:?Objective to investigate the?application nursing?effect of QCC nursing recovery?period?of?myocardial infarction patients.?Methods 60 cases of myocardial infarction?recovery?patients were divided into?the observation group and the control group by quality control circle?nursing as the cut-off point,?the control group was given routine nursing,?the observation group was given?QCC?nursing, two groups were compared with health knowledge situation, self-efficacy of?facing disease,?prognosis and?life quality.?Results health knowledge of?disease knowledge,?medication knowledge, reasonable diet,?timely review?and other aspects in the observation group was higher than that in the control group,?the sense of self-efficacy?score was higher than that in the control group,?with statistically significant?(P0.05).The?rate of sudden cardiac death, myocardial infarction, malignant arrhythmia in the observation group was ?lower than that in the control group,?the improvement of the life quality?was higher than that in the control?group,?with statistically significant?(P0.05).?Conclusion the?QCC?nursing can?improve the ability to cope with the?disease,?the prognosis and life?quality of myocardial infarction patients. Keywords:?quality control circle?care;?myocardial infarction;?recovery;?self efficacy;?prognosis 心肌梗死是比较常见的心血管疾病，也是冠心病死亡的重要原因。降低心肌梗死患者的死亡率，缩短住院时间，改善患者的预后，是心血管疾病管理的重要目标。急性心肌梗死的患者经有效的药物治疗后病情处于稳定阶段，此时间段内患者处理病