SOC模式干预对中青年冠心病患者自我效能及健康素养的影响

目的探讨SOC模式干预对中青年冠心病患者自我效能及健康素养的影响。方法将2016年11月至2017年11月在唐山市某三甲医院心血管内科住院的112例中青年冠心病患者依据入院的时间顺序进行分组,其中奇数为对照组,偶数为干预组。对照组采用常规护理模式,干预组在常规护理模式基础上以SOC模式为理论依据。根据患者所处的不同阶段采取针对性的干预措施,共干预1个月,分别于干预前及干预后对两组患者的自我效能和健康素养进行评价。结果干预前,两组患者的自我效能、健康素养得分比较,差异无统计学意义(P>0.05);干预后,干预组患者的自我效能总分高于对照组(P<0.05),且症状、角色、情绪、与医生交流4个维度得分均高于对照组(P<0.05)。干预后,干预组患者的健康素养总分高于对照组(P<0.05),两组患者在健康素养总分及信息获取能力、交流互动能力、经济支持意愿、改变健康意愿4个维度均高于干预前,但干预组患者在健康素养总提高分及各个维度提高分均高于对照组(P<0.05)。结论以SOC模式为基础的干预能改善中青年冠心病患者的自我效能,提高其健康素养。

Effect of SOC mode intervention on self-efficacy and health literacy of middle-aged and young patients with coronary heart disease

Objective To explore the effect of SOC mode intervention on self-efficacy and health literacy of middle-aged and young patients with coronary heart disease.Methods From November 2016 to November 2017,112 young and middle-aged patients with coronary heart disease who were admitted to the department of cardiovascular medicine of a third-class first-class hospital in Tangshan city were grouped according to the time sequence of admission,with odd numbers as the control group and even numbers as the intervention group.The control group adopted the conventional nursing mode,and the intervention group took the SOC mode as the theoretical basis on the basis of the conventional nursing mode.Targeted intervention measures were taken according to the different stages of the patients,and the intervention lasted for 1 month.The self-efficacy and health literacy of the patients in the two groups were evaluated before and after the intervention.Results Before intervention,there was no significant difference in self-efficacy and health literacy scores between the two groups(P>0.05).After intervention,the total score of self-efficacy in the intervention group was higher than that in the control group(P<0.05),and the scores of symptoms,role,emotion and communication with doctors were higher than those of the control group(P<0.05).After intervention,the total score of health literacy in the intervention group was higher than that in the control group(P<0.05).The total score of health literacy and information acquisition ability,communication and interaction ability,willingness to support the economy,and willingness to change the health were higher in the two groups than before the intervention,but the total score of health literacy and all dimensions in the intervention group were higher than that in the control group(P<0.05).Conclusions SOC-based intervention can improve the self-efficacy and health literacy of young and middle-aged CHD patients.