Person-centred care after acute coronary syndrome, from hospital to primary care - A randomised controlled trial
Person-centred care after acute coronary syndrome, from hospital to primary care - A randomised controlled trial
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DOI：
10.1016/j.ijcard.2015.03.336
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发表时间：
2015-05-06
影响因子：
3.5
通讯作者：
Swedberg, Karl
中科院分区：
文献类型：
--
作者：
Fors, Andreas;Ekman, Inger;Swedberg, Karl
目的：评估以人为本的护理是否可以提高自我效能，促进急性冠脉综合征事件后患者恢复工作或先前的活动水平。方法：199例急性冠脉综合征患者= 5个单位，恢复工作或先前的活动水平，再次住院或死亡。结果：综合评分显示，（22.3%，n = 21）与对照组相比，干预组在6个月时改善（9.5%，n = 10）（比值比，2.7; 95%置信区间：1.2-6.2; P = 0.015）。效果是由干预组自我效能提高= 5个单位驱动的。干预组总体自我效能感的改善显著高于对照组（P = 0.026）。有没有组之间的差异，再住院或死亡，返回工作或以前的活动level.Conclusion：以人为本的护理方法，强调病人和医疗保健专业人员之间的伙伴关系，在整个护理链提高一般自我效能，而不会造成恶化的临床事件。(C)2015爱思唯尔爱尔兰有限公司版权所有。
Aim: To evaluate if person-centred care can improve self-efficacy and facilitate return to work or prior activity level in patients after an event of acute coronary syndrome.Method: 199 patients with acute coronary syndrome = 5 units, return to work or prior activity level and re-hospitalisation or death.Results: The composite score showed that more patients (22.3%, n = 21) improved in the intervention group at 6 months compared to the control group (9.5%, n = 10) (odds ratio, 2.7; 95% confidence interval: 1.2-6.2; P = 0.015). The effect was driven by improved self-efficacy = 5 units in the intervention group. Overall general self-efficacy improved significantly more in the intervention group compared with the control group (P = 0.026). There was no difference between groups on re-hospitalisation or death, return to work or prior activity level.Conclusion: A person-centred care approach emphasising the partnership between patients and health care professionals throughout the care chain improves general self-efficacy without causing worsening clinical events. (C) 2015 Elsevier Ireland Ltd. All rights reserved.