Xu Ji-Xue, Wu Lin-Xue, Jiang Wei, Fan Gui-Hong
Department of Nursing, First Affiliated Hospital of Qiqihar Medical College, Qiqihar 161000, Heilongjiang Province, China.
World J Clin Cases. 2021 Nov 26;9(33):10189-10197. doi: 10.12998/wjcc.v9.i33.10189.
It is very important to provide effective nursing programs to regulate the physical and mental state of patients and to improve treatment compliance after interventional surgery for coronary heart disease (CHD).
To explore the effect of a nursing intervention based on Maslow's hierarchy of needs theory on patients with CHD undergoing percutaneous coronary intervention.
Ninety-four patients with CHD undergoing interventional surgery in our hospital from January 2020 to February 2021 were randomly divided into a research group ( = 47) and a control group ( = 47). The control group received routine nursing, and the research group received a nursing intervention based on Maslow's hierarchy of needs theory. The scores of self-efficacy, negative emotion [depression (SDS), anxiety (SAS)], intervention compliance (standardized medication, moderate exercise, healthy diet, and regular review), and nursing satisfaction were calculated before and after intervention for the two groups.
Before intervention, there was no significant difference in the scores of disease general management self-efficacy, disease management self-efficacy, and total self-efficacy between the two groups ( = 0.795, 0.479, and 0.659, respectively). After intervention, these three scores in the research group were higher than those in the control group ( < 0.001). Before intervention, there was no significant difference in the scores of SAS and SDS between the two groups ( = 0.149 and 0.347, respectively). After intervention, the scores of SAS and SDS in the research group were lower than those in the control group ( < 0.001). The standardized drug use rate (97.87%), moderate exercise rate (97.87%), healthy diet rate (95.74%), and regular reexamination rate (97.87%) in the research group were higher than those in the control group (85.11%, 82.98%, 80.85%, and 87.23%, respectively) ( = 0.027, 0.014, 0.025, and 0.049, respectively). Nursing job satisfaction in the research group (93.62%) was higher than that in the control group (78.72%) ( = 0.036).
A nursing program based on Maslow's hierarchy of needs theory can effectively alleviate negative emotion, enhance self-efficacy and intervention compliance, and ensure that the patients are highly satisfied with the nursing work.
提供有效的护理方案以调节冠心病（CHD）患者介入术后的身心状态并提高治疗依从性非常重要。
探讨基于马斯洛需求层次理论的护理干预对接受经皮冠状动脉介入治疗的冠心病患者的影响。
将2020年1月至2021年2月在我院接受介入手术的94例冠心病患者随机分为研究组（n = 47）和对照组（n = 47）。对照组接受常规护理，研究组接受基于马斯洛需求层次理论的护理干预。计算两组干预前后的自我效能感得分、负性情绪[抑郁（SDS）、焦虑（SAS）]、干预依从性（规范用药、适度运动、健康饮食、定期复查）及护理满意度得分。
干预前，两组疾病总体管理自我效能感得分、疾病管理自我效能感得分及总自我效能感得分比较，差异均无统计学意义（分别为P = 0.795、0.479、0.659）。干预后，研究组这三项得分均高于对照组（P < 0.001）。干预前，两组SAS和SDS得分比较，差异均无统计学意义（分别为P = 0.149、0.347）。干预后，研究组SAS和SDS得分低于对照组（P < 0.001）。研究组规范用药率（97.87%）、适度运动率（97.87%）、健康饮食率（95.74%）及定期复查率（97.87%）均高于对照组（分别为85.11%、82.98%、80.85%、87.23%）（分别为P = 0.027、0.014、0.025、0.049）。研究组护理工作满意度（93.62%）高于对照组（78.72%）（P = 0.036）。
基于马斯洛需求层次理论的护理方案能有效缓解负性情绪，增强自我效能感和干预依从性，并确保患者对护理工作高度满意。
