护士主导的自我效能强化联合阶梯式康复运动对经皮冠状动脉介入术后患者心功能的影响OA
Effect of nurse-led self-efficacy enhancement combined with stepwise rehabilitation exercise on cardiac function in patients after PCI
目的 探讨护士主导的自我效能强化联合个性化阶梯式康复运动对经皮冠状动脉介入(PCI)术后患者心脏康复依从性及心功能的影响.方法 选择 2024 年 2 月至 2025 年 1 月盐城市第一人民医院收治的 104 例行 PCI 的患者作为研究对象,采用随机数字表法将患者分为观察组和对照组,每组 52 例.对照组接受常规康复护理,观察组接受护士主导的自我效能强化联合个性化阶梯式康复运动.比较 2 组的康复依从性、心功能、自我管理行为以及非计划再入院率.结果 干预 5 d 后、出院前,观察组患者在身体运动依从性、运动监测依从性、主动寻求建议方面的得分及总分,以及自我管理行为量表评分均高于对照组;观察组的左室射血分数均高于对照组,6 分钟步行试验距离均远于对照组,左室舒张末内径均小于对照组(P 均<0.05).干预 3、6 个月后,2 组非计划再入院率均无统计学差异(P 均>0.05).结论 护士主导的自我效能强化联合个性化阶梯式康复运动可改善 PCI 术后患者的心脏康复依从性、心功能和自我效能.
Objective To explore the effect of nurse-led self-efficacy enhancement combined with personalized stepwise rehabilitation exercise on cardiac rehabilitation compliance and cardiac function in patients after percutaneous coronary intervention(PCI).Methods A total of 104 patients with PCI at Yancheng No.1 People's Hospital from February 2024 to January 2025 were selected as the research subjects.They were divided into an observation group and a control group using the random number table method,with 52 patients in each group.The control group was given routine rehabilitation nursing,and the observation group was given nurse-led self-efficacy enhancement combined with personalized stepwise rehabilitation exercise.Rehabilitation compliance,cardiac function,self-management behavior,and unplanned readmission rates were compared between the two groups.Results After 5 days of intervention and before discharge,the scores and total scores of the patients in the observation group in terms of physical exercise compliance,exercise monitoring compliance,active seeking of advice,and the score of the self-management behavior scale were all higher than those in the control group;the left ventricular ejection fraction of the observation group was higher than that of the control group,and the 6-minute walking test distance of the observation group was longer than that of the control group,and the left ventricular end-diastolic diameter of the observation group was smaller than that of the control group(P<0.05).After 3 and 6 months of intervention,there was no statistically significant difference in the unplanned readmission rate between the two groups(P>0.05).Conclusion Nurse-led self-efficacy enhancement combined with personalized stepwise rehabilitation exercise can improve cardiac rehabilitation compliance,cardiac function,and self-efficacy in patients after PCI.
邵筱敏;程赟赟;王持蕾;陈华烨;王跃琴
盐城市第一人民医院,江苏 盐城,224000盐城市第一人民医院,江苏 盐城,224000盐城市第一人民医院,江苏 盐城,224000盐城市第一人民医院,江苏 盐城,224000盐城市第一人民医院,江苏 盐城,224000
医药卫生
经皮冠状动脉介入术自我效能强化个性化阶梯式康复运动心功能
percutaneous coronary interventionself-efficacy enhancementpersonalized stepwise rehabilitation exercisecardiac function
《中西医结合护理（中英文）》 2026 (5)
83-86,4
盐城市卫生健康委员会医学科研项目(YK2024109)
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