Construction and practice of cardiac rehabilitation program for patients after percutaneous coronary intervention from the perspective of self-determination theory
10.3760/cma.j.cn115682-20200327-02415
- VernacularTitle:自我决定理论视角下的PCI术后患者心脏康复方案的构建与实践
- Author:
Jing LIU
1
;
Xiaojuan LIAN
;
Shuang CHEN
;
Yongge LI
Author Information
1. 郑州大学第一附属医院心血管内科，郑州 450000
- Keywords:
Coronary heart disease;
Percutaneous coronary intervention;
Cardiac rehabilitation;
Self-determination theory
- From:
Chinese Journal of Modern Nursing
2020;26(19):2604-2607
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct the cardiac rehabilitation program for patients after percutaneous coronary intervention (PCI) from the perspective of self-determination theory (SDT) , and explore its effects.Methods:Totally 90 patients with coronary heart disease (CHD) who received PCI in the First Affiliated Hospital of Zhengzhou University between July and October 2018 were selected by convenient sampling. A total of 45 patients undergoing PCI between July and August 2018 were included in the control group, while 45 patients receiving PCI between September and October 2018 were included into the observation group. Patients in the control group received routine care, while patients in the observation group were treated with the cardiac rehabilitation program for patients after PCI from the perspective of SDT on the basis of routine care. Morisky Medication Adherence Scale (MMAS) and Coronary Heart Disease Self-Management Behavior Scale (CSMS) were used to evaluate the effect of intervention.Results:Totally 41 valid data were collected from the control group, while 43 valid data were collected from the observation group. After intervention, the medication adherence score of the observation group was higher than that of the control group, and the difference was statistically significant ( P<0.05) ; the CSMS scores of the observation group were higher than those of the control group, and the differences were statistically significant ( P<0.05) . Conclusions:The cardiac rehabilitation program for patients after PCI from the perspective of SDT can improve the medication adherence and self-management behavior of patients after PCI.
