Effects Of The Systematic Health Education Nursing Intervention Mode On Patient Living Quality And Self-efficacy After Carotid Artery Stenting (CAS)

ObjectiveThis study discussed quality of life and self-efficacy situation of postoperative patients with carotidartery stenting from the perspective of the development of nursing. Systematic health education improvedthe quality of life and self-efficacy in patients, reduced risk factors, helped patients establish good healthbehaviors, prevent and reducted the incidence of complications, and then provided a scientific basis for thedevelopment of nursing interventions in patients with carotid artery stenosis.Methods120patients, who were diagnosed as carotid artery narrow by color Doppler ultrasound of carotid andcerebral angiography and implemented CAS, were selected from January2012to December2012at FirstAffiliated Hospital of Henan University and Henan province people’s hospital. After nursing intervention,102cases were eligible for the study. The selected objects randomly divided into control group andintervention group, and51cases in each group. The patients in the control group were treated with routinecare and health education department; The patients in intervention group were given not only routine carebut also the systematic care interventions, including disease-related knowledge missions (internal carotidartery stenosis health education, surgical purposes, methods, etc.), lifestyle intervention (diet care, exercisecare, sleep care, guidance defecation, sexual guidance), compliance behavior intervention (right medication,relevant indicators to detect, regular outpatient follow-up, etc.) and post-discharge short message andtelephone follow-up mission for six months. Collect the general information, awareness of the disease inpatients by a self-designed reference questionnaire, and then evaluate quality of life and self-efficacy respectively by SF-36(health survey) and chronic disease self-efficacy scale before and after nursingintervention. Experimental data will be collected, entry database. By SPSS17.0software for statisticalanalysis, P <0.05was considered statistically significant.Results1. The differences in gender, age, occupation, education level, marital status, place of residence,economic status, payment of medical expenses in the intervention group and control group patients was notstatistically significant (P>0.05).The differences between the two study groups were balanced andcomparable.2. The difference in clinical manifestations, the degree of stenosis, stent number, mounting bracketpositions and complications in the intervention group and the control group of patients was not statisticallysignificant (P>0.05). The differences between the two groups were balanced and comparable.3. The difference in awareness of the disease, quality of life, self-efficacy levels between interventiongroup and control group before systematic nursing were not significantly significant (P>0.05).4. Differences in the life quality of patients in the intervention group before and after the interventionwas statistically significant (P <0.05). The dimensions of quality of life（PF、GH、TV、MH、SF、RP、BP、RE） after the intervention were significantly higher than that before the intervention. After systematicnursing, the differences in the patients,quality of life between the intervention group and control group wasstatistically significant (P <0.05). The dimensions of quality of life in the intervention group weresignificantly higher than that in the group.5. The difference in self-efficacy scores, symptom management, role function, communication withdoctors score of the intervention group before and after intervention was statistically significant (P <0.05).After systematic nursing intervention, self-efficacy, symptom management, emotional control, role functioning and communication with doctors in the intervention group were was significantly higher thanthat in control group.6. After systematic nursing, the difference in awareness of the disease between intervention group andcontrol group was statistically significant (P <0.05).Conclusion1. Systematic nursing intervention can significantly improve awareness of the disease in patients withcarotid artery stenosis after CAS, and then improve the quality of life of patients.2. Systematic nursing intervention can significantly improve the level of self-efficacy in patients withcarotid artery stenosis after CAS, and then improve patient self-care skills.