标题：基于保护动机理论的延续性护理对冠状动脉旁路移植术患者治疗依从性及生活质量的影响

      作者：马慧 1，李玉坤 1，王淑媛 2，樊龙会 1    1.阜外华中心血管病医院，河南 郑州 450000；2.郑州工业应用技术学院医学院，河南 郑州 450000

      卷次： 2023年34卷8期

      【摘要】 目的 探究基于保护动机理论的延续性护理干预在接受冠状动脉旁路移植术(CABG)治疗患者中的应用效果。方法 选取2021年2月至2022年9月就诊于阜外华中心血管病医院的86例CABG术后患者作为研究对象，按随机数表法分为观察组和对照组各43例。对照组患者给予常规护理，观察组患者在对照组护理的基础上给予基于保护动机理论的延续性护理，均护理3个月。比较两组患者护理后的治疗依从性、护理前后的疾病认知水平和冠心病自我管理行为量表(CSMS)、自我效能感量表(GSES)、西雅图心绞痛量表(SAQ)评分以及护理后患者对护理的满意度。结果 观察组患者的治疗总依从性为97.67%，明显高于对照组的79.07%，差异有统计学意义(P<0.05)；护理后，观察组患者的疾病认知水平为(16.36±0.89)分，明显高于对照组的(14.67±1.69)分，差异有统计学意义(P<0.05)；护理后，观察组患者的GSES评分、CSMS评分和SAQ评分分别为(35.45±1.58)分、(98.69±4.92)分、(89.67±5.88)分，明显高于对照组的(30.78±2.10)分、(84.69±5.57)分、(82.56±6.37)分，差异均有统计学意义(P<0.05)；观察组患者对护理的满意度为100.00%，明显高于对照组的81.40%，差异有统计学意义(P<0.05)。结论 基于保护动机理论的延续性护理能提高CABG术后患者治疗依从性和疾病认知水平，强化自我效能，增强自我管理能力，改善生活质量，具有临床应用价值。
      【关键词】 冠状动脉旁路移植术；保护；动机；理论；延续性护理
      【中图分类号】 R473.6 【文献标识码】 A 【文章编号】 1003—6350（2023）08—1169—05

Impact of continuous nursing based on protective motivation theory on treatment compliance and quality of lifein patients undergoing coronary artery bypass grafting.
MA Hui 1, LI Yu-kun 1, WANG Shu-yuan 2, FAN Long-hui 1.1. Fuwaihua Central Vascular Disease Hospital, Zhengzhou 450000, Henan, CHINA; 2. School of Medicine, ZhengzhouInstitute of Industrial Application Technology, Zhengzhou 450000, Henan, CHINA
【Abstract】 Objective To investigate the effectiveness of continuous nursing based on protective motivationtheory in patients treated with coronary artery bypass grafting (CABG). Methods Eighty-six post-CABG patients whovisited Fuwaihua Central Vascular Disease Hospital from February 2021 to September 2022 were selected and divided in-to the observation group and the control group according to the random number table method, each with 43 cases. Thepatients in the control group were given conventional care, while the patients in the observation group were given contin-uous nursing based on protective motivation theory on the basis of conventional care, both for 3 months. The patients inthe two groups were compared in terms of treatment compliance, disease awareness level and Coronary Self-Manage-ment Scale (CSMS), Self-Efficacy Scale (GSES), Seattle Angina Scale (SAQ) scores before and after nursing, and pa-tients' satisfaction with nursing. Results The total treatment compliance of patients in the observation group was97.67%, which was significantly higher than 79.07% of the control group (P<0.05). After nursing, the disease awarenesslevel of patients in the observation group was (16.36±0.89) points, which was significantly higher than (14.67±1.69) pointsof the control group (P<0.05). After nursing, the The GSES score, CSMS score, and SAQ score of the patients in the ob-servation group were (35.45±1.58) points, (98.69±4.92) points, and (89.67±5.88) points, respectively, which were signifi-cantly higher than (30.78±2.10) points, (84.69±5.57) points, and (82.56±6.37) points of the control group (P<0.05). Thesatisfaction of patients in the observation group with nursing was 100.00%, significantly higher than 81.40% in the con-trol group (P<0.05). Conclusion Continuous nursing based on protective motivation theory can improve treatmentcompliance and disease perception, strengthen self-efficacy, enhance self-management ability, and improve quality oflife in post-CABG patients, and has clinical application value.
      【Key words】 Coronary artery bypass grafting; Protective; Motivation; Theory; Continuous nursing