三主体双轨道互动护理干预模式在永久心脏起搏器植入术患者中的应用

目的:探讨三主体双轨道互动护理干预模式在永久心脏起搏器植入术患者中的应用效果。方法:选取2017年1月1日~2019年12月31日收治的110例行永久心脏起搏器植入术患者为研究对象,根据随机数字表法分为观察组和对照组各55例。对照组采取常规护理干预,观察组在常规护理干预基础上实施三主体双轨道互动护理干预模式。比较两组入院时、出院后3个月的负性情绪采用状态特质焦虑量表(STAI)、贝克抑郁自评量表(BDI)]、自护能力采用自我护理能力测评量表(ESCA)]、生活质量采用生活质量综合评定量表(GQOLI-74)],并通过自拟问卷的方式评估两组干预后的干预依从性,记录其干预过程中相关并发症发生情况。结果:出院后3个月,两组STAI、BDI评分低于入院时(P<0.05),且观察组低于对照组(P<0.05);出院后3个月,两组ESCA中护理技能、健康知识水平、自护责任感、自我概念得分高于入院时(P<0.05),且观察组高于对照组(P<0.05);出院后3个月,两组GQOLI-74中躯体功能、心理功能、社会功能、物质生活状态得分高于入院时(P<0.05),且观察组高于对照组(P<0.05);出院后3个月,观察组干预依从性优于对照组(P<0.05);观察组并发症总发生率低于对照组(P<0.05)。结论:三主体双轨道互动护理干预模式可明显提高行永久心脏起搏器植入术患者的自护能力及干预依从性,且有利于缓解负性情绪,提高生活质量,值得临床推广。

Application of Three-subject Double-track Interactive Nursing Intervention Model in Patients with Permanent Cardiac Pacemaker Implantation

Objective:To explore the application effect of three-subject double-track interactive nursing intervention model in patients with permanent cardiac pacemaker implantation.Methods:A total of 110 patients with permanent cardiac pacemaker implantation who were treated during January 1,2017-December 31,2019 were selected as subjects,and divided into the observation group and the control group according to the random number table method,with 55 cases in each group.The control group was given routine nursing intervention,and the observation group was given three-subject double-track interactive nursing intervention model on this basis.The negative emotionsState Trait Anxiety Inventory(STAI),Baker Depression Inventory(BDI)],self-care abilityExercise of Self-Care Agency(ESCA)]and quality of lifeGeneric Quality Of Life Inventory-74(GQOLI-74)]were compared between the two groups at admission and at 3 months after discharge,and the self-made questionnaire was used to evaluate the intervention compliance after intervention,and the occurrence of related complications were recorded during intervention.Results:At 3 months after discharge,the scores of subscales of STAI scales(S-AI,T-AI)and scores of BID scale in the two groups were lower than those at admission(P<0.05),and the scores in the observation group were lower than those in the control group(P<0.05).At 3 months after discharge,the scores of dimensions(nursing skills,health knowledge level,self-care responsibility,self-concept)of ESCA scale and scores of dimensions(body function,psychological function,social function,material life status)of GQOLI-74 scale in the two groups were higher than those at admission(P<0.05),and the scores in the observation group were higher than those in the control group(P<0.05).At 3 months after discharge,the total compliance rate in the observation group was higher than that in the control group(P<0.05),and there was a statistically significant difference in the compliance grading between the two groups(P<0.05).Conclusion:Three-subject double-track interactive nursing intervention model can significantly improve the self-care ability and intervention compliance of patients with permanent cardiac pacemaker implantation,benefit the improvement of negative emotions,improve the quality of life,which is worthy of clinical promotion.