摘要
目的探讨基于循证理念的护理模式结合同伴支持干预在急性心肌梗死(AMI)患者中的应用效果。方法选取2021年1月至2022年12月广东省广州市荔湾中心医院收治的172例AMI患者作为研究对象,采用随机数字表法将其分为对照组(86例)和观察组(86例)。对照组采取常规护理,观察组实施基于循证理念的护理模式结合同伴支持干预,两组均持续护理至患者出院。比较两组护理效果(心理状态、自我效能感、生活质量、护理满意度)。结果观察组护理后抑郁自评量表(SDS)、焦虑自评量表(SAS)评分低于对照组,一般自我效能感量表(GSES)评分高于对照组,差异有统计学意义(P<0.05);观察组护理后健康调查简表(SF-36)各项评分均高于对照组,差异有统计学意义(P<0.05);观察组患者护理满意度评分高于对照组,差异有统计学意义(P<0.05)。结论基于循证理念的护理模式结合同伴支持干预可缓解AMI患者不良情绪,有效提升患者自我效能感,利于生活质量的改善,从而提升患者满意度。
Objective To explore the application effect of evidence-based nursing model combined with peer support intervention in patients with acute myocardial infarction(AMI).Methods A total of 172 AMI patients admitted to Liwan Central Hospital of Guangzhou from January 2021 to December 2022 were selected as the study subjects.They were divided into a control group(86 cases)and an observation group(86 cases)by a random number table method.The control group received routine care,while the observation group implemented an evidence-based nursing model combined with peer support intervention.Both groups continued to receive care until the patient was discharged.The nursing outcomes(psychological state,self-efficacy,quality of life,nursing satisfaction)were compared between the two groups.Results The scores of self-rating depression scale(SDS)and self-rating anxiety scale(SAS)in the observation group were lower than those in the control group,and the scores of general self-efficacy scale(GSES)were higher than those in the control group,the differences were statistically significant(P<0.05).The scores of the MOS item short from health survey(SF-36)in the observation group were higher than those in the control group,the difference was statistically significant(P<0.05).The nursing satisfaction score of observation group was higher than that of control group,and the difference was statistically significant(P<0.05).Conclusion The evidence-based nursing model combined with peer support intervention can alleviate the negative emotions of AMI patients,effectively enhance their self-efficacy,improve their quality of life,and thus enhance patient satisfaction.
作者
谢杏芳
林惠芳
陈婉萍
XIE Xingfang;LIN Huifang;CHEN Wanping(Department Cardiovascular,Liwan Central Hospital of Guangzhou,Guangdong Province,Guangzhou 510170,China;Department Endocrinology,Liwan Central Hospital of Guangzhou,Guangdong Province,Guangzhou 510170,China)
出处
《中国当代医药》
CAS
2024年第12期158-161,共4页
China Modern Medicine
基金
广东省广州市荔湾区科技计划项目(20111213202)。
关键词
急性心肌梗死
循证理念
护理模式
同伴支持干预
自我效能感
生活质量
Acute myocardial infarction
Evidence based concept
Nursing mode
Peer support intervention
Self efficacy
Quality of life
