共享决策对冠心病经皮冠状动脉介入治疗术后患者健康行为、治疗依从性的影响

目的探讨共享决策对冠心病经皮冠状动脉介入治疗(PCI)术后患者健康行为、治疗依从性的影响。方法选取2017年2月至2019年2月该院收治的100例行PCI术治疗的冠心病患者作为研究对象,按照入院单双号顺序分为对照组(50例)和观察组(50例)。对照组患者给予常规干预,观察组患者给予共享决策干预,比较两组患者治疗依从率、健康行为、自我护理能力、并发症发生率及患者满意度。结果观察组患者干预后治疗依从率为94.00%,满意度为96.00%,均明显高于对照组的76.00%和80.00%,差异均有统计学意义(P<0.05);观察组患者干预后心理健康、健康责任感、压力管理、营养、躯体活动、人际关系及总分均明显高于对照组,差异均有统计学意义(P<0.05);观察组患者干预后自我护理概念、自我护理技能、自我护理责任感评分及健康知识评分均明显高于对照组,差异均有统计学意义(P<0.05);观察组患者干预后并发症发生率(6.00%)明显低于对照组(24.00%),差异有统计学意义(P<0.05)。结论共享决策可提高冠心病PCI术后患者治疗依从性、健康行为及自我护理能力,降低并发症发生率。

Effect of sharing decision on healthy behavior and treatment compliance of patients with coronary heart disease after PCI

Objective To investigate the effect of sharing decision on healthy behavior and treatment compliance of patients with coronary heart disease after percutaneous coronary intervention(PCI).Methods A total of 100 patients with coronary heart disease who underwent PCI in the hospital from February 2017 to February 2019 were selected as subjects.They were divided into the control group(n=50)and the observation group(n=50)according to the even-and-odd-number order of admission.The control group was given routine intervention while the observation group was given sharing decision intervention.The treatment compliance rate,health behavior,self-care ability,incidence of complications and patient′s satisfaction were compared between the two groups.Results After intervention,the treatment compliance rate and satisfaction rate in the observation group(94.00%and 96.00%)were significantly higher than those in the control group(76.00%and 80.00%),and the differences were statistically significant(P<0.05).After intervention,scores of mental health,health responsibility,stress management,nutrition,physical activity and interpersonal relationship and the total score in the observation group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,scores of self-care concept,self-care skills,self-care responsibility and health knowledge in the observation group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group after intervention was significantly lower than that in the control group(6.00%vs.24.00%),the differences was statistically significant(P<0.05).Conclusion Sharing decision can improve the treatment compliance,health behavior and self-care ability of patients with coronary heart disease after PCI,and reduce the incidence of complications.