Effect of PDCA-based self-management intervention model on health behavior and medication adherence in aged patients with percutaneous coronary intervention
10.3760/cma.j.issn.1672-7088.2016.25.003
- VernacularTitle:基于PDCA的自我管理干预模式对老年经皮冠状动脉介入治疗术术后患者健康行为及用药依从性的影响
- Author:
Li YAO
;
Yan QU
;
Xia LI
;
Ping YUAN
;
Juan LIU
;
Ling BAI
;
Xinli WANG
- Publication Type:Journal Article
- Keywords:
Coronary artery disease;
Self-care;
Percutaneous coronary intervention;
Self-medication compliance;
Intervention studies
- From:
Chinese Journal of Practical Nursing
2016;32(25):1931-1937
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of PDCA-based self-management intervention model on health behavior and medication adherence in aged patients with percutaneous coronary intervention (PCI). Methods Totally 130 aged patients treated by PCI were randomly divided into the intervention group and the control group with 65 patients. The patients in the control group received routine health education, and the patients in the intervention group received PDCA-based self-management intervention model. All patients were investigated with Coronary Heart Disease Self-Management Behavior Scale (CSMS) and Health Promoting Lifestyle Profile (HPLP) and Medication Compliance Scale (MMAS-8) 3 months and 6 months after discharge. Results Six months after discharge, the score of self-management and healthy behavior and medication adherence were 96.98 ± 14.12, 131.86 ± 16.53, 7.18 ± 0.69 respectively in the intervention group, and the score of them were 86.04 ± 11.78, 105.33 ± 10.97, 5.69 ± 1.29 respectively in the control group, and the difference was statistically significant (t=10.981, 10.793, 7.438, P<0.05 or 0.01). Conclusions PDCA-based self-management intervention model is a patient-centered, problem-oriented, dynamic and interactive health education intervention. It may be helpful in improving PCI patients′ health behavior and medication adherence after discharge. And it may establish lasting self-management skills, and is worthy of application and promotion.
