摘要
目的：探讨ESPCS护理对冠心病患者自我管理和生活质量的影响。方法选择2013年1—12月冠心病患者200例,按随机数字表法分为观察组和对照组,每组100例。对照组实施常规护理,观察组在对照组的基础上进行EPSCS护理干预,干预后分别对两组患者进行自我管理行为和生命质量调查。结果干预后观察组患者日常生活管理、疾病医学管理、情绪管理评分分别为（43.5±6.1）,（51.2±3.5）,（21.1 ± 3.2）分,高于对照组的（39.6±5.8）,（45.6±3.9）,（18.2 ± 2.9）分,差异有统计学意义（t值分别为-3.462,-6.247,-2.958；P〈0.05）。两组患者在躯体功能和躯体角色两个维度评分比较差异无统计学意义（P〉0.05）；而其余6个维度评分观察组均高于对照组,差异有统计学意义（P〈0.05）。结论 ESPCS护理干预能提高冠心病患者的自我管理能力及坚持康复训练的能力,提高患者的生活质量水平。
Objective To explore the influence of Explain-Simulate-Practice-Communication-Support （ ESPCS） nursing on self-management and quality of life in coronary heart disease （ CHD ） patients. Methods We chosen 200 CHD patients from January to December in 2013 and divided them into observation group and control group according to random number table method, 100 cases in each group. The patients of the control group received routine nursing, while the patients of the observation group underwent EPSCS nursing intervention on the basis of conventional nursing. After the intervention, the self management behavior and quality of life were surveyed. Results After the intervention, the patients of the observation group acquired the scores of （43. 5 ± 6. 1）, （51. 2 ± 3. 5）, （21. 1 ± 3. 2） for daily life management, disease medical management, and emotion management respectively, while the scores of the control group were （39. 6 ± 5. 8）, （45. 6 ± 3. 9）, and （18. 2 ± 2. 9）, the differences were statistically significant （ t = -3. 462, -6. 247,-2. 958,respectively;P〈0. 05）. Scores of physical function and physical role had no statistical significance between the two groups （P〉0. 05）, but scores of the rest other six dimensional in the observation group were significantly higher than those of the control group, the difference was statistically significant （P 〈0. 05）. Conclusions ESPCS nursing intervention can improve the ability of CHD patients on self-management and rehabilitation training persistence, and improve the quality of life.
出处
《中华现代护理杂志》
2015年第9期1013-1016,共4页
Chinese Journal of Modern Nursing
基金
国家临床重点专科建设项目
关键词
冠心病
生活质量
ESPCS护理
自我管理
Coronary heart disease
Quality of life
Explain-simulate-practice-communication-support nursing
Self-management
