目的观察自我效能干预对经皮冠状动脉介入治疗(PCI)术后患者自我管理能力和生活质量的影响。方法选取2015年7—12月在该院心脏中心行PCI治疗的72例患者作为研究对象,按照随机数字表法将其分为观察组和对照组,各36例。所有患者在住院期间均行PCI,并给予常规术后护理。对照组患者出院后进行常规复诊,并给予定期随访或电话回访;观察组患者实施自我效能干预。随访1年后采用慢性病自我效能量表、冠心病自我管理行为量表、简明健康状况调查表(SF-36量表)评价两组患者的自我效能、自我管理能力水平及生活质量。结果经自我效能干预12个月后,观察组患者自我效能评分、自我管理行为量表评分及SF-36量表各维度评分均显著高于对照组,差异均有统计学意义(P〈0.05)。结论自我效能干预能显著提高冠心病PCI术后患者的自我效能水平,从而提高其自我管理能力和生活质量,值得临床推广应用。
Objective To observe the effect of self-efficacy intervention on the self-management skills and life quality of patients after percutaneous coronary intervention(PCI). Methods From July to December 2015,72 cases of patients treated with PCI in cardiac center were divided into observation group(36 cases) and control group(36 cases) by random number table method,all the patients were treated by PCI and given conventional postoperative care during hospitalization,the control group received routine returning visits and regular follow-up or telephones follow-up after discharge,while the observation group received self-efficacy intervention. The level of self-efficacy,self-management skills and quality of life with chronic disease self-efficacy scale,coronary heart disease self-management behavior scale and short form of 36(SF-36) were evaluated after 1 year of follow-up.Results After intervention,the improvement of self-efficacy score of observation group was significantly better than that of control group(P〈0.05),each dimension score of self-management and SF-36 was also significantly higher than control group(P〈0.05).Conclusion Self-efficacy intervention can significantly improve the level of self-efficacy of coronary heart disease patients after PCI,thereby improve their self-management skills and quality of life,which deserves clinical promotion and application.