基于时机理论的家庭护理干预对急性冠状动脉综合征患者负性情绪和生活质量的影响

摘要

目的 探讨基于时机理论的家庭护理对急性冠脉综合征患者负性情绪和生活质量的影响.方法 采用方便抽样的方法选择2016年4月—2017年7月无锡市第二人民医院心内科行PCI治疗的ACS患者126例,采用随机数字表法随机分为干预组(n=63)和对照组(n=63),最终完成研究121例,对照组61例,干预组60例.对照组患者接受心内科护理常规和随访,干预组在此基础上给予基于时机理论的家庭护理进行干预.采用SAS、SDS和简明健康调查问卷(SF-36)分别于患者入院时、出院时、出院后3、6个月进行测评,比较两组干预效果.结果 两组患者的负性情绪随着时间变化呈逐步递减的趋势,干预后干预组患者SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05).两组患者生活质量随着时间变化而呈逐步增高的趋势,干预6个月后干预组患者SF-36问卷总体健康维度(72.19±19.86)分,对照组(66.74±18.23)分,差异有统计学意义(t=6.221,P<0.01).结论 基于时机理论的家庭护理可显著改善急性冠脉综合征患者焦虑、抑郁情绪,提高其生活质量.%Objective To explore the effects of family-centered care on negative emotion and quality of life in patients with acute coronary syndrome(ACS)based on "Timing It Right".Methods A total of 126 patients with ACS undergoing PCI therapy in the Cardiology Department of Wuxi Second People's Hospital from April 2016 to July 2017 were selected by convenience sampling method.All subjects were randomly divided into the intervention group(n=63)and the control group(n=63).A total of 121 patients competed the study,with 61 in the intervention group and 60 in the control group.The control group received routine nursing care and cardiology department follow-up.The intervention group was given routine care and family-centered care based on "Timing It Right" on the basis of the control group.Using Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)and 36-Item Short Form Healthy Survey(SF-36)to assess the patients on admission,at discharge,3 month and 6 month after discharge respectively,so as to compare the effects between the two groups.Results The negative emotion of all the patients showed a gradual downward trend.The scores of SAS and SDS of the intervention group 3 months after intervention were lower than those of the control group,with statistical significance(P<0.05).The quality of life showed increased gradually with time in both groups.The scores of the general dimension of SF-36 were(72.19±19.86)and(66.74±18.23)in the intervention group and the control group respectively,and the difference was statistically significant(t=6.221,P <0.01).Conclusions The family-centered care based on "Timing It Right" can significantly improve anxiety,depression and quality of life in patients with acute coronary syndrome.