延续性自我管理干预对改善PCI术后患者生存质量的效果评价.pdfVIP

慢病管理专题 Topical Issues 延续性自我管理干预对改善PCI术后患者 生存质量的效果评价 李苹 林平 王蕊 陶领伟 韩永奎 [ 摘 要] 目的：探讨基于延续护理模式及自我管理理论的延续性自我管理干预方案对于改善PCI 术后患者生存质量的效果。 方法：将 90 例 PCI 术后患者随机分为实验组(n=46) 和对照组(n=44)，对照组给予心内科常规健康教育，实验组给予延续性自 我管理干预。应用健康调查简表（SF-36) 分别于干预前、干预后1个月和干预后 6 个月时对两组患者进行测评，比较两组患者 的差异。结果：两组患者在干预后1个月时除躯体健康、躯体疼痛两个维度得分无统计学差异外，其余各维度得分实验组均高 于对照组（P0.05），在干预后 6 个月时除躯体疼痛得分无统计学差异外，其余各维度得分实验组均高于对照组（P0.05）。结论： 延续性自我管理干预有助于提高 PCI 术后患者的生存质量。 [ 关键词 ] PCI；自我管理；生存质量 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2014.09.014 The effect of transitional self-management intervention on quality of life among patients with percutaneous coronary intervention / LI Ping, LIN Ping, WANG Rui, et al. // School of Nursing, Harbin Medical University, Harbin, 150086 China /// Chinese Nursing Management-2014,14(9): 942-946 [Abstract] Objective: To explore the effect of transitional self-management intervention based on self-management model and transitional nursing model on quality of life among patients with Percutaneous Coronary Intervention (PCI). Methods: Totally 90 PCI patients were divided into the control group (44 cases) and the intervention group (46 cases). The intervention group received transitional self-management intervention, whereas the control group received routine cardiology health education. Both groups were investigated by the SF-36 before intervention , 1 and 6 month after the intervention .Results: The subscale scores of SF-36 in the intervention group were higher than those in the control group except physical function and bodily pain in 1 month and bodily pain in 6 month after the intervention (P0.05). Conclusion: The transitional self-management intervention is an effective method to improve quality of life among patients with PCI. [Key words] PCI; self- management; quality of life 经皮冠状动脉介入治疗（Percu- 生存质量的效果，现介绍如下。