对于患有慢性疾病的患者来说,坚持理论是否强大? : 皮肤穿透冠状动脉干预后患者的批判性评估
The Journal of cardiovascular nursing
|June 20, 2025
概括
了解穿皮冠状动脉干预后患者的坚持是关键. 坚持理论因素因性别而异,动机影响男性而不是女性,突出显示了对量身定制的护理干预措施的需求.
科学领域:
- 心脏病学和护理科学心脏病学和护理科学
- 健康 结果 研究 研究 结果
- 行为科学 行为科学
背景情况:
- 皮肤穿刺冠状动脉干预 (PCI) 后的最佳健康结果取决于患者的坚持.
- 了解遵守策略对于有效的患者管理至关重要.
- 在PCI后的慢性疾病管理需要专注于长期的坚持.
研究的目的:
- 调查PCI接受的慢性疾病患者的坚持理论中的关联.
- 在6年的随访期内检查长期坚持模式.
- 为了确定影响PCI后群体坚持的因素.
主要方法:
- 一个描述性的,探索性的研究设计,利用调查数据.
- 在2013年 (n=416) 和2019年 (n=167) 两次时间点数据收集,超过6年.
- 结构方程建模用于评估坚持理论构造和社会支持问卷.
主要成果:
- 坚持理论展示了一个强大的结构,在2013年至2019年之间没有显著的变化.
- 在坚持因素中观察到显著的性别差异.
- 动机直接影响了男性的坚持,与社会支持和正常性有间接联系;女性的坚持没有受到可识别因素的显著影响.
结论:
- 护理理论需要进行批判性重新评估,以确保在患者护理中继续具有相关性.
- 基于研究的知识对于开发以人为中心的护理干预措施至关重要.
- 建议针对PCI后患者根据性别特定的坚持因素量身定制干预措施.
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