[1]毛莲,黄伶智,曹莉,等.“ABOVE”模式在冠状动脉粥样硬化性心脏病患者血脂管理中的应用[J].军事护理,2022,39(08):97-100.[doi:10.3969/j.issn.2097-1826.2022.08.025]
　MAO Lian,HUANG LingZhi,CAO Li,et al.Application of ABOVE Mode in the Blood Lipid Management of Patients with Coronary Heart Disease[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(08):97-100.[doi:10.3969/j.issn.2097-1826.2022.08.025]
点击复制

“ABOVE”模式在冠状动脉粥样硬化性心脏病患者血脂管理中的应用
分享到：

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年08期
页码:
97-100
栏目:
专科护理
出版日期:
2022-08-15

文章信息/Info

Title:
Application of ABOVE Mode in the Blood Lipid Management of Patients with Coronary Heart Disease
文章编号:
2097-1826(2022)08-0097-04
作者:
毛莲1; 黄伶智2; 曹莉2; 张雅怡2
(1.中南大学湘雅三医院 护理部,湖南 长沙 410013; 2.中南大学湘雅二医院 临床护理教研室,湖南 长沙 410011)
Author(s):
MAO Lian1; HUANG LingZhi2; CAO Li2; ZHANG YaYi2
(1.Department of Nursing,The Third Xiangya Hospital,Central South University,Changsha 410013,Hunan Province,China; 2.Department of Clinical Nursing,The Second Xiangya Hospital,Central South University,Changsha 410011,Hunan Province,China)
关键词:
冠心病;  血脂;  知信行;  自我管理
Keywords:
coronary heart disease;  lipid;  knowledge-attitude-behavior;  self-management
分类号:
R473.54; R825.4
DOI:
10.3969/j.issn.2097-1826.2022.08.025
文献标志码:
A
摘要:
目的 探索“ABOVE”模式对冠状动脉粥样硬化性心脏病(简称冠心病)患者血脂管理的应用效果。方法 2020年7-10月,便利抽样法选取长沙市某三级甲等医院心血管内科住院治疗的80例冠心病患者,根据不同病区将其分为观察组和对照组。观察组接受“ABOVE”模式,对照组接受常规的责任制整体护理。比较干预前后两组患者管理效果。结果 观察组血脂知识-态度-行为问卷总分及知识、行为维度得分、血脂目标知晓率、戒烟、每周运动时间、腰围和血压等达标率、LDL-C和非-HDL-C达标率均高于对照组(均P<0.05)。结论 “ABOVE”模式有助于提高冠心病患者血脂知识、行为水平、自我管理行为及血脂生化指标达标率。
Abstract:
Objective To explore the effect of ABOVE mode in the blood lipid management of patients with coronary heart disease.Methods 80 patients with coronary heart disease who were hospitalized in the Department of Cardiology of a tertiary A hospital in Changsha from July to October 2020 were selected by the convenience sampling method and divided into the intervention group and the control group.The intervention group adopted the ABOVE mode,while the control group adopted the routine responsibility system for holistic nursing.The management effects of patients in the two groups were compared before and after the intervention.Results In the intervention group,the total score of lipid knowledge-attitude-behavior questionnaire,the scores of knowledge and behavior dimensions,the rate of lipid target awareness,the attainment rates of smoking cessation,weekly exercise time,waist circumference,blood pressure,and the attainment rates of LDL-C and non-HDL-C were all higher than those of the control group(all P<0.05).Conclusions ABOVE mode could help to improve the knowledge and behavior level of blood lipid in patients with coronary heart disease,as well as the rate of self-management behavior and lipid biochemical indexes.

参考文献/References:

[1] 诸骏仁,高润霖,赵水平,等.中国成人血脂异常防治指南(2016年修订版)[J].中国循环杂志,2016,31(10):937-953.
[2] ZHANG M,DENG Q,WANG L,et al.Prevalence of dyslipidemia and achievement of low-density lipoprotein cholesterol targets in Chinese adults:a nationally representative survey of 163,641 adults[J].Int J Cardiol,2018,260:196-203.
[3] 王颖,郭晓贝,鲁志卉,等.基于目标管理理念的护理不良事件规范化管理[J].护理学杂志,2020,35(2):1-4.
[4] 王秀丽.目标管理理论的针对性护理干预在肾病综合征患儿中的应用观察[J].护士进修杂志,2018,33(23):2125-2129.
[5] FAUL F,ERDFELDER E,LANG A G,et al.G*Power 3: a flexible statistical power analysis program for the social,behavioral,and biomedical sciences[J].Behav Res Methods,2007,39(2):175-191.
[6] 傅燕辉,潘力波,葛珍飞,等.血脂健康管理信息平台的构建与应用[J].护理研究,2020,34(15):2628-2632.
[7] 许晓岚,黄伶智,李乐之.心脏康复微课程健康教育对冠心病患者疾病认知的影响[J].临床与病理杂志,2018,38(10):2209-2214.
[8] 黄鑫.血脂知识、态度、行为问卷的编制、考评与应用[D].长沙:中南大学,2008.
[9]骆景光,韩凌,陈立伟,等.无戒烟意愿急性冠脉综合征患者不愿意戒烟原因分析[J].公共卫生与预防医学,2017,28(5):139-141.
[10]冯青静,胡同秀,孙丹丹.冠心病患者康复运动知信行现状及影响因素研究[J].护理管理杂志,2021,21(1):1-5.

备注/Memo

备注/Memo:
【 收稿日期 】 2021-12-17 【 修回日期 】 2022-06-18
【 基金项目 】 湖南省自然科学基金科卫联合基金项目(2022JJ 70052)
【 作者简介 】 毛莲,硕士,护师,从事心血管疾病护理、心理护理
【 通信作者 】 黄伶智,电话:0731-85294071
更新日期/Last Update: 2022-08-15