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疾病感知能否预测经皮冠状动脉介入治疗患者的感知学习需求。

Do Illness Perception Predict Perceived Learning Needs Among Patients Treated With Percutaneous Coronary Intervention.

机构信息

Ala Ashour, PhD, RN, is an assistant professor at the Faculty of Nursing, Department of Adult Health Nursing, The Hashemite University, Zarqa, Jordan. Ahmed Al-Smadi, PhD, RN, is an associate professor at the Faculty of Health Sciences, American University of Madaba, Madaba, Jordan. Loai Tawalbeh, PhD, RN, is an associate professor at the Princess Salma Faculty of Nursing, Al al-Bayt University, Al-Mafraq, Jordan. Ali Alshraifeen, PhD, RN, is an assistant professor at the Faculty of Nursing, Department of Adult Health Nursing, The Hashemite University, Zarqa, Jordan. Sami Al-Rawashdeh, PhD, RN, is an assistant professor at the Faculty of Nursing, Community and Mental Health Nursing Department, The Hashemite University, Zarqa, Jordan. Besher Gharaibeh, PhD, RN, is an associate professor at the Faculty of Nursing, Jordan University of Science & Technology, Irbid, Jordan.

出版信息

Dimens Crit Care Nurs. 2020 Sep/Oct;39(5):251-258. doi: 10.1097/DCC.0000000000000436.

DOI:10.1097/DCC.0000000000000436
PMID:32740195
Abstract

BACKGROUND

The number of coronary heart disease (CHD) patients treated with percutaneous coronary intervention (PCI) has increased. The illness perception (IP) of PCI recipients needs to be evaluated. Yet, little is known whether patients' IP predicts perceived learning needs among patients treated with PCI.

OBJECTIVE

The aim of this study was to assess patients' IP and to examine its influence on perceived learning needs post PCI.

METHODS

A cross-sectional design was used. A convenience sample of 208 patients who had undergone first-time PCI participated in the study. Data were collected before patients were discharged from the hospital using the Brief Illness Perception Questionnaire and the Percutaneous Coronary Intervention Learning Need Scale.

RESULTS

Patients were highly concerned about their illness and perceived high consequences and symptoms related to CHD. They perceived low levels of personal and treatment control over their illness. Patients reported high learning needs. Multiple linear regression showed that low perception of personal control (P < .037), treatment control (P < .041), and high perception of disease symptoms (P < .018) significantly predicted high perceived learning needs.

CONCLUSION

Hence, the patients' IP influences perceived learning needs, which may be included in routine clinical assessments. Tailored health education programs are needed for patients treated with PCI; such a program should target patients who perceived low levels of personal and treatment control over illness and have a high perception of symptoms.

摘要

背景

接受经皮冠状动脉介入治疗(PCI)的冠心病(CHD)患者数量有所增加。需要评估 PCI 受者的疾病认知(IP)。然而,尚不清楚患者的 IP 是否可以预测 PCI 治疗后患者的感知学习需求。

目的

本研究旨在评估患者的 IP,并探讨其对 PCI 后感知学习需求的影响。

方法

采用横断面设计。便利选取 208 名首次接受 PCI 的患者参与研究。在患者出院前使用简短疾病认知问卷和经皮冠状动脉介入治疗学习需求量表收集数据。

结果

患者对自己的疾病高度关注,并认为 CHD 具有高后果和症状。他们对疾病的个人和治疗控制程度较低。患者报告了较高的学习需求。多元线性回归显示,个人控制感低(P <.037)、治疗控制感低(P <.041)和疾病症状感知高(P <.018)显著预测高感知学习需求。

结论

因此,患者的 IP 会影响感知学习需求,这可能需要纳入常规临床评估。需要为接受 PCI 治疗的患者制定有针对性的健康教育计划;该计划应针对个人和治疗控制感较低且症状感知较高的患者。

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