ISSN 2097-6054（网络） ISSN 1672-9234（印刷） CN 11-5289/R
主管：中国科学技术协会　主办：中华护理学会
出版：中华护理杂志社
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中华护理教育

中华护理教育 >

2023 , Vol. 20 >Issue 4: 395 - 402

DOI: https://doi.org/10.3761/j.issn.1672-9234.2023.04.002

论著

经皮冠状动脉介入治疗术后患者结构化教育方案的构建及应用

  • 王立艳 ,
  • 黄霞 ,
  • 卢晓虹 ,
  • 贾培培 ,
  • 王斌 ,
  • 曹丽华
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  • 266000 青岛市 青岛大学附属医院心内科（王立艳，卢晓虹，曹丽华），人力资源部（黄霞），肝胆胰外科（贾培培），肝脏外科（王斌）
王立艳：女，本科，主管护师，E-mail：wangliyan3399@126.com

收稿日期: 2022-07-11

  网络出版日期: 2023-04-19

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Construction and application of structured education program for patients after percutaneous coronary intervention

  • Liyan WANG ,
  • Xia HUANG ,
  • Xiaohong LU ,
  • Peipei JIA ,
  • Bin WANG ,
  • Lihua CAO
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  • The Affiliated Hospital of Qingdao University，Qingdao，266000，China

Received date: 2022-07-11

  Online published: 2023-04-19

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摘要

目的 构建经皮冠状动脉介入治疗（percutaneous coronary intervention，PCI）术后患者结构化教育方案，探讨其在患者自我管理中的应用效果。方法 通过文献回顾、半结构式访谈和德尔菲法，构建PCI术后患者结构化教育方案。采用便利抽样法，选取2021年1月—4月在某三级甲等医院心内科行PCI术的115例患者为研究对象。对照组（57例）患者接受常规健康教育，试验组（58例）患者接受结构化教育，采用冠心病自我管理行为量表于干预前、出院后3个月、出院后6个月对两组患者进行调查。结果 2轮专家函询专家积极系数分别为94%、100%，权威系数分别为0.907、0.910，协调系数分别为0.245、0.313（均P<0.001）。构建的结构化教育方案包括7个教育模块、78项教育目标和58项教育内容。干预后，两组自我管理行为量表得分组间与时间存在交互效应（F=114.573，P<0.001）；经简单效应分析显示，出院后3个月、出院后6个月，试验组自我管理行为得分均高于对照组（P<0.05）。结论 构建的PCI术后患者结构化教育方案科学可靠，具有实用性。实施结构化教育能有效提高PCI术后患者的自我管理水平。

关键词： 血管成形术; 气囊; 冠状动脉; 健康教育; 病人; 自我护理; 结构化教育

本文引用格式

王立艳 , 黄霞 , 卢晓虹 , 贾培培 , 王斌 , 曹丽华 . 经皮冠状动脉介入治疗术后患者结构化教育方案的构建及应用[J]. 中华护理教育, 2023 , 20(4) : 395 -402 . DOI: 10.3761/j.issn.1672-9234.2023.04.002

Abstract

Objective To construct a structured education program for patients after percutaneous coronary intervention（PCI），and to explore the effect of the structured education program in the self-management of patients. Methods Through literature review，semi-structured interview and Delphi technique，we constructed a structured education program for patients after PCI. A total of 115 patients who received PCI in the cardiology department of a tertiary A level hospital from January to April 2021 were selected by convienient sampling. Patients in the control group（n=57） received conventional health education and those in the treatment group（n=58） accepted structured education. The Coronary artery disease Self-Management Behavioral Scale was used to investigate patients in both groups before intervention，3 months and 6 months after discharge. Results The positive coefficient of experts of the two rounds of expert correspondence inquiry was 94% and 100%，the authority coefficient was 0.907 and 0.910 respectively，and the Kendall’s coordination coefficient was 0.245 and 0.313 respectively（all P<0.001）. The structured education program consists of 7 modules，78 pieces of objectives and 58 contents. In the application of the scheme，there was an interaction effect between groups and time for the total score of self-management in the two groups（F=114.573，P<0.001）. The simple effects analysis showed that the scores of self-management behavior in the treatment group were higher than those in the control group at 3 and 6 months after discharge（P<0.05）. Conclusion The constructed structured education program for patients after PCI is scientific，reliable and practical. Structured education can significantly improve self-management for coronary heart disease in patients after PCI.

Key words： Angioplasty; Balloon; Coronary; Health Education; Patients; Self Care; Structured education

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