【摘要】 目的 探究基于自我决定理论的全方位渗透护理模式对于提高冠心病术后患者自我管理能力及认知水平的应用效果。方法 选取2019年3月至2021年3月在河南省胸科医院行冠心病治疗术后的128例患者为研究对象，按照随机分组原则将其分为研究组与对照组各64例。对照组采用常规护理模式，研究组采用基于自我决定理论的全方位渗透护理模式，术前1个月对患者进行干预。术后1年对患者进行随访，观察两组患者不良事件(死亡、再发心绞痛、再次入院)发生情况，比较干预前后两组患者自我管理能力[冠心病自我管理行为量表(CSMS)]、认知水平(心血管疾病患者连续护理认知水平测评量表)差异、患者术后生存质量(冠心病患者生存质量评定量表)。结果 术后1年，研究组不良事件发生率明显低于对照组；干预后，两组患者CSMS评分及认知水平均高于干预前，且研究组CSMS评分、认知水平及术后生存质量评分均明显高于对照组，差异有统计学意义(P <0.05)。结论 基于自我决定理论的全方位渗透护理模式能够有效提高冠心病术后患者自我管理能力及认知水平，改善其术后生存质量及预后。更多还原

【Abstract】 Objective To explore the application effect of comprehensive penetration nursing model based on selfdetermination theory on improving the self-management ability and cognitive level of postoperative coronary heart disease patients. Methods A total of 128 patients who underwent coronary heart disease treatment in our hospital from March 2019to March 2021 were selected as the study subjects. They were divided into a study group and a control group according to the random number table, with 64 patients in each group. The control group adopted a routine nursing model, while the study group adopted comprehensive penetration nursing model based on self-determination theory. Patients were intervened one month before surgery. One year after surgery, patients were followed up to observe the occurrence of adverse events(death, recurrent angina,readmission) in two groups of patients. The self-management ability(coronary heart disease self-management scale(CSMS)),cognitive level(assessment scale of cognitive level on continuous nursing for cardiovascular disease patients), and postoperative quality of life(coronary heart disease patient quality of life assessment scale) were compared between the two groups before and after intervention. Results One year after surgery, the incidence of adverse events in the study group was significantly lower than that in the control group; After the intervention, the CSMS score and cognitive level of the two groups of patients were higher than before the intervention, and the CSMS score, cognitive level, and postoperative quality of life score of the study group were significantly higher than the control group, with a statistically significant difference(P < 0.05). Conclusion Comprehensive penetration nursing model based on self-determination theory can effectively improve the self-management ability and cognitive level of patients with coronary heart disease after surgery, and improve their postoperative quality of life and prognosis.更多还原