目标激励式自护模式对不稳定型心绞痛患者的作用研究

目的探讨目标激励式自护模式对不稳定型心绞痛患者的作用。方法选取2020年7月至2022年1月苏州市立医院本部收治的不稳定型心绞痛患者126例,按照随机数字表法将其分为对照组和观察组,各63例。对照组给予常规护理,观察组在对照组的基础上采取目标激励式自护模式。比较两组患者干预前和干预后自我护理能力、心理状态和西雅图心绞痛量表(SAQ)量表评分以及并发症发生率。结果与干预前比较,干预后两组患者焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均较干预前降低(P<0.05),且干预后观察组患者以上评分均低于对照组(P<0.05);与干预前比较,干预后两组患者自我护理能力测定量表(ESCA)中自我护理技能、自我护理概念、健康知识水平、自我护理责任感评分及SAQ量表中疾病认知程度、躯体活动受限程度、心绞痛发作情况、心绞痛稳定状态、治疗满意度评分均升高(P<0.05),且干预后观察组患者以上评分均高于对照组(P<0.05);观察组并发症发生率低于对照组(P<0.05)。结论目标激励式自护模式可以缓解不稳定型心绞痛患者焦虑、抑郁的情绪,改善心绞痛症状,提高自护能力,减少并发症的发生。

Study on the effects of goal driven self-care mode in patients with unstable angina pectoris

Objective: To explore the effect of goal driven self-care mode in patients with unstable angina pectoris. Method: From July 2020 to January 2022, 126 patients with unstable angina pectoris were selected, and they were divided into control group and observation group with 63 cases each according to the random number table method. The control group was given routine nursing, and the observation group adopted the goal driven self-care mode on the basis of the control group. The self-care ability, psychological state, the score of Seattle angina pectoris scale (SAQ) before and after the intervention, and the incidence of complications were compared between the two groups. Results: Compared with those before intervention, the scores of self-rating anxiety scale (SAS) and self-rating depression scale (SDS) in the two groups after intervention were lower than those before intervention (P<0.05), and the above scores in the observation group were lower than those in the control group after intervention (P<0.05). Compared with those before the intervention, the scores of self-care skills, self-care concept, health knowledge level, self-care responsibility in the self-care ability scale (ESCA) and the scores of disease cognition, physical activity limitation, angina pectoris attack, stable state of angina pectoris and treatment satisfaction in the SAQ in the two groups increased after the intervention (P<0.05), and the above scores in the observation group were higher than those in the control group (P<0.05). The incidence of complications in the observation group was lower than that in the control group (P<0.05). Conclusion: The goal driven self-care mode can relieve anxiety and depression of patients with unstable angina pectoris, improve angina pectoris symptoms, improve self-care ability and reduce complications.