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目的探讨品管圈活动干预对老年冠心病患者自我效能的影响和应用效果。方法选取2013年10月至2014年10月接受经皮冠状动脉介入(PCI)治疗的158例老年冠心病急性冠脉综合征患者,以2013年10月至2014年3月实施常规护理的79例患者作为常规护理组,以2014年4月至2014年10月实施品管圈活动的79例患者作为观察组。对照组使用常规护理措施;观察组纳入品管圈管理模式中,从分析现状、培训护理人员、评估冠心病风险等方面对患者进行护理。结果观察组与对照组患者的健康知识掌握情况的评分(冠心病知识、自我保健知识)差异具有统计学意义(P均<0.01)。观察组患者对护理满意率明显高于对照组患者(P<0.01)。治疗与护理前,两组患者自我效能评分分级比较差异无统计学意义(P>0.05);治疗与护理后,观察组患者自我效能评分分级明显高于对照组患者(P<0.05)。两组患者入院初生活质量各个维度评分相近(P均>0.05);观察组患者出院前生活质量各个维度评分明显优于对照组(P均<0.01)。结论通过品管圈活动,每位圈员都能认真分析、探讨老年冠心病PCI术后并发症风险,根据自身长期积累的经验及想法提出合理解决对策,增强患者对疾病的认识,提高患者的自我效能水平,提升整体的护理水平。
Objective To investigate the effect of quality control circle intervention on self-efficacy of elderly patients with coronary heart disease and its clinical effect. Methods A total of 158 elderly patients with coronary heart disease who underwent percutaneous coronary intervention (PCI) from October 2013 to October 2014 were enrolled in this study. A total of 79 patients undergoing routine care from October 2013 to March 2014 were enrolled. As a regular care group, 79 patients with QOL activities from April 2014 to October 2014 were selected as the observation group. The control group used routine nursing measures; the observation group was included in the quality control circle management mode, and the patients were nurses from analyzing the status quo, training nurses and assessing the risk of coronary heart disease. Results There was significant difference in grading of health knowledge (knowledge of coronary heart disease, self-care knowledge) between observation group and control group (all P <0.01). The satisfaction rate of patients in the observation group was significantly higher than that of the control group (P <0.01). Before treatment and nursing, there was no significant difference in scores of self-efficacy between the two groups (P> 0.05). After treatment and nursing, the score of self-efficacy of observation group was significantly higher than that of control group (P <0.05). The scores of quality of life in the two groups were similar in all dimensions (P> 0.05). The scores of quality of life before discharge in the observation group were significantly better than those in the control group (all P <0.01). Conclusion Through QC activities, each of the circle members can carefully analyze and discuss the risk of postoperative complications of elderly patients with coronary artery disease. Based on their long-term accumulated experience and ideas, they propose reasonable solutions to enhance their understanding of the disease and improve the patients’ Self-efficacy level, improve the overall level of care.