Application effect of timing theory on self-management and medication adherence in patients with percutaneous coronary intervention
10.3760/cma.j.issn.1674-2907.2019.16.019
- VernacularTitle:时机理论对PCI患者自我管理行为和服药依从性的影响
- Author:
Qingzhu QIN
1
;
Yicong LI
;
Xiaoqing FAN
Author Information
1. 河南省人民医院心血管综合二病区,郑州 450003
- Keywords:
Medication adherence;
Percutaneous coronary intervention;
Timing theory;
Self-management
- From:
Chinese Journal of Modern Nursing
2019;25(16):2058-2060
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To investigate the effect of intervention theory based on timing theory on self-management behavior and medication compliance of patients with percutaneous coronary intervention (PCI). Methods? A total of 126 patients who underwent PCI in People＇s Hospital of He＇nan Province in 2018 were enrolled, including 67 who had PCI from April to June in 2018 in the experimental group and 59 who had PCI from January to March in 2018 in the control group. Patients in the control group received routine nursing intervention. The patients in the experimental group were treated with an intervention program based on timing theory. The Coronary Heart Disease Self-Management Scale and the Morisky Medication Adherence Questionnaire were used to compare the effects of the intervention. Results? After intervention, the scores of "daily life management(17.11±3.62)", "bad habit management(16.33±4.36)", "disease knowledge management(17.11±3.68)", "symptom management(14.25±4.15)", "first aid management(13.55±4.27)","treatment compliance management(11.13±3.62)" and "emotional cognitive management(15.69±4.25)" in the experimental group were higher than the control group with(14.57±3.69),(14.17±3.88),(14.36±3.56), (12.34±4.46),(10.41±3.89),(7.69±4.14),(13.23±4.32)respectively, and the differences were statistically significant (t=3.895, 2.921, 4.250, 2.489, 4.293, 4.976,3.217;P＜0.05). After the intervention, the scores of the medication adherence questionnaire in the experimental group was (6.35±1.12), and the control group was (5.92±1.17). The difference between the two groups was statistically significant (t=2.106, P=0.037). Conclusions? Timing theory can improve the self-management behavior and medication compliance of PCI patients, and can be applied in clinical practice.
