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以保护动机理论为指导的护理干预对冠心病冠脉介入治疗患者自我管理行为及糖脂代谢指标的影响
The Effect of Nursing Intervention Guided by Protective Motivation Theory on Self-management Behavior and Glucose and Lipid Metabolism Indexes of Coronary Heart Disease Patients with Coronary Interventional Therapy
【摘要】 目的:探讨以保护动机理论(PMT)为指导的护理干预对冠心病冠脉介入治疗患者自我管理行为及糖脂代谢指标的影响。方法:选取2018年1月-2019年7月于笔者所在医院治疗的84例冠心病冠脉介入治疗患者,按随机数字表法分为两组,各42例。对照组实施传统护理,观察组采用以PMT为指导的护理干预。对比两组自我管理行为及糖脂代谢指标。结果:干预前两组自我管理行为、糖脂代谢指标比较差异无统计学意义(P>0.05),干预后观察组自我管理行为评分高于对照组,血压、空腹血糖、总胆固醇水平均低于对照组,差异均有统计学意义(P<0.05)。结论:以PMT为指导的护理干预可有效提升冠心病冠脉介入治疗患者自我管理行为,调节糖脂代谢指标。
【Abstract】 Objective:To explore the effect of nursing intervention guided by protective motivation theory (PMT) on self-management behavior and glucose and lipid metabolism indexes of patients with coronary interventional therapy for coronary heart disease.Method:A total of 84 patients with coronary intervention for coronary heart disease treated in the author’ hospital from January 2018 to July 2019 were selected and divided into two groups according to the random number table method,with 42 patients in each group.The control group implemented traditional nursing,and the observation group adopted nursing intervention guided by PMT.The self-management behaviors and glucose and lipid metabolism indexes of the two groups were compared.Result:Before intervention,there was no statistically significant difference in self-management behavior and glucose and lipid metabolism indicators between the two groups (P>0.05).After intervention,the score of self-management behavior in the observation group was higher than that in the control group,and the blood pressure,fasting blood glucose and total cholesterol levels were lower than those in the control group,the differences were statistically significant (P<0.05).Conclusion:Nursing intervention guided by PMT can effectively improve the self-management behavior of patients with coronary heart disease and coronary intervention and adjust the index of glucose and lipid metabolism.
【Key words】 Coronary heart disease; Coronary intervention therapy; Protection motivation theory; Nursing intervention; Self-management behavior;
- 【文献出处】 中外医学研究 ,Chinese and Foreign Medical Research , 编辑部邮箱 ,2020年31期
- 【分类号】R473.5
- 【被引频次】4
- 【下载频次】91