延续护理干预对出院冠心病患者自我效能及治疗依从性影响.docVIP

延续护理干预对出院冠心病患者自我效能及治疗依从性影响 　　[摘要]目的 探讨延续护理对冠心病患者自我效能及依从性的影响。方法 选取我院2014年1月～2015年5月收治的冠心病患者116例，按照随机数字表法分为两组，各58例，对照组给予常规出院指导，研究组在常规出院指导的基础上给予延续护理，比较两组患者自我效能评分及治疗依从性。结果 干预后3、6个月，研究组GSES评分高于对照组，差异有统计学意义（P0.05）；研究组遵医用药、合理休息、按时复查、合理饮食、戒烟戒酒、合理锻炼、预防感染等各纬度评分及总分均同期高于对照组，差异有统计学意义（P0.05）。结论 冠心病患者应用延续护理后可明显提高期自我效能及依从性。 　　[关键词]冠心病；延续护理；自我效能；依从性 　　[中图分类号] R541.4 [文献标识码] A [文章编号] 1674-4721（2016）10（b）-0182-03 　　[Abstract]Objective To investigate the influence of extended care in self-efficacy and compliance in patients with coronary heart disease.Methods 116 patients with coronary heart disease in our hospital were selected from January 2014 to May 2015 and randomly divided into two groups，each group had 58 cases.The control group was received routine discharge guidance，the study group was received extended care on the basis ofthe conventional discharge guidance，the self-efficacy and treatment compliance rates of two groups were compared.Results After intervention 3 months and 6 months，GSES score of the study group were higher than that of control group，there was significant difference between two groups（P0.05）；The medication compliance，reasonable rest，time to review，proper diet，smoking and drinking，reasonable exercise，prevention of infection and total scores of the study group was significant higher than that of control group on the same period，there was significant difference between two groups（P0.05）.Conclusion Coronary heart disease patients after extended care can significantly improve the efficacy of self and compliance. 　　[Key words]Coronary heart disease；Extended care；Self-efficacy；Adherence 　　冠状动脉粥样硬化性心脏病（冠心病）是临床常见的慢性心血管疾病之一，老年群体发病率较高，严重降低患者的生活质量。近年来，随着人们生活水平的提高及生活方式的改变，冠心病的发病率呈现逐年升高的趋势[1]。但在临床工作中，部分冠心病患者由于缺乏疾病的相关知识，治疗依从性较差，尤其是出院后，住院期间接受的健康教育内容逐渐遗忘，失去了医护人员的监督，大大降低了患者的健康行为依从性，给临床治疗效果造成影响，而对患者实施延续护理能够使其依从性明显提高[2-3]。本研究选取我院收治的冠心病患者进行分析，对其实施延续护理，效果较好，现报道如下。 　　1资料与方法 　　1.1一般资料 　　选取2014年1月～2015年5月我院收治的116例冠心病患者，按照随机数字表法将其分为两组，各58例，对照组男性41例，女性17例；年龄49～72岁，平均（55.6±10.8）