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CICARE 沟通模式对经皮冠状动脉介入治疗后冠心病患者疾病不确定性、自我护理能力和生活质量的影响。

Effect of CICARE Communication Mode on Disease Uncertainty, Self-Nursing Ability, and Quality of Life in Patients with Coronary Atherosclerotic Heart Disease after Percutaneous Coronary Intervention.

机构信息

Operating Room, Wuhan Asian Heart Hospital, 430022, China.

出版信息

Comput Math Methods Med. 2022 Aug 5;2022:8654449. doi: 10.1155/2022/8654449. eCollection 2022.

Abstract

OBJECTIVE

To study the effect of CICARE (Connect, Introduce, Communicate, Ask, Respond, Exit) communication mode on disease uncertainty, self-nursing ability, and quality of life in patients with coronary atherosclerotic heart disease (CAD) after percutaneous coronary intervention (PCI).

METHODS

From January 2021 to December 2021, 102 patients with CAD after PCI were randomly divided into a research group ( =51) and a control group ( =51). The former received CICARE communication model nursing intervention, and the latter received routine doctor-patient communication nursing. To study the scores of disease uncertainty scale (MUIS), Frankl treatment compliance scale (Frankl), self-care ability scale (exercise of self-care-a), quality of life scale (WHOQOL-BREF), and Newcastle nursing satisfaction scale (NSNS) before and 1 week after nursing.

RESULTS

After one week of nursing, the MUIS score of the research group was lower than that of the control group, and the score of Frankl treatment compliance scale of the research group was higher than that of the control group. After 1 week of nursing, the ESCA score of the research group was higher compared to the control group ( < 0.05), and the WHOQOL-BREF score of the research group was higher compared to the control group ( < 0.05). After one week of nursing, the NSNS score of the research group was higher compared to the control group ( < 0.05).

CONCLUSION

The application value of CICARE communication mode nursing intervention in patients with CAD after PCI is more remarkable, and it is more helpful to reduce patients' disease uncertainty, enhance treatment compliance, promote patients' self-nursing ability, and strengthen quality of life and nursing satisfaction.

摘要

目的

研究 CICARE(连接、介绍、沟通、询问、回应、离开)沟通模式对经皮冠状动脉介入治疗(PCI)后冠心病(CAD)患者疾病不确定性、自我护理能力和生活质量的影响。

方法

2021 年 1 月至 2021 年 12 月,将 102 例 PCI 后 CAD 患者随机分为研究组(n=51)和对照组(n=51)。前者接受 CICARE 沟通模式护理干预,后者接受常规医患沟通护理。比较两组患者护理前后疾病不确定感量表(MUIS)、弗兰克尔治疗依从量表(Frankl)、自我护理能力量表(Exercise of Self-Care-A)、生活质量量表(WHOQOL-BREF)和纽卡斯尔护理满意度量表(NSNS)评分。

结果

护理 1 周后,研究组 MUIS 评分低于对照组,Frankl 治疗依从评分高于对照组,差异有统计学意义( < 0.05)。护理 1 周后,研究组 ESCA 评分高于对照组,WHOQOL-BREF 评分高于对照组,差异有统计学意义( < 0.05)。护理 1 周后,研究组 NSNS 评分高于对照组,差异有统计学意义( < 0.05)。

结论

CICARE 沟通模式护理干预在 CAD 患者中的应用价值更为显著,有助于降低患者疾病不确定性,增强治疗依从性,促进患者自我护理能力,增强生活质量和护理满意度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a56/9410929/567dbcd8292c/CMMM2022-8654449.001.jpg

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