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引文資料
題名:
運用健康信念模式協助接受經皮冠狀動脈血管成型術後之患者執行規律運動之護理經驗
書刊名:
長庚護理
作者:
林雅芳
/
陳清惠
作者(外文):
Lin, Ya-fang
/
Chen, Ching-huey
出版日期:
2006
卷期:
17:4=56
頁次:
頁503-511
主題關鍵詞:
健康信念模式
;
規律運動
;
冠狀動脈心臟病
;
Health belief model
;
Regular exercise
;
Coronary heart disease
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:0
共同引用:
11
點閱:14
本文為協助一位冠心症病患於接受經皮冠狀動脈血管成型術後執行規律運動的護理過程。筆者以相關文獻查證及健康信念模式為護理過程的指引,運用觀察、會談、電訪、行為過程記錄及病歷查閱等方式進行資料收集。結果顯示,個案在執行規律運動的過程中所遇到的障礙分為知識、生理及心理三方面。知識部分,對血管再阻塞的可能性及運動對疾病保健重要性的認知不足;生理障礙為疲倦感及膝關節酸痛,心理障礙是擔心運動會導致心臟病復發。也因為心理之擔心而使運動自我效能比發病前減少許多。為除去上述執行規律運動之障礙,筆者執行以下護理措施:(1)加強病患對疾病及運動利益之認知;(2)協助病患處理生理障礙;及(3)提供個別性的安全運動計畫以除去心理恐懼,強化自我效能。護理過程中最重要的是不斷地給予鼓勵及肯定,以增進病患執行運動時的信心。
以文找文
This case report described the nursing experience of assisting a patient with coronary heart disease (CAD) after percutaneous coronary intervention (PCI) therapy to form a habit of regular physical exercise. Based on the Health Believe Model and the results of literature reviews, a model was established to guide the nursing process. Data was collected through medical records, observations, interviews, and phone calls. The results indicated that there were three major obstacles preventing patients from regular exercise. Firstly, the patient did not know the possibility of the re-occlusion of the coronary artery and the necessity of maintaining regular physical exercise. Secondly, the patient perceived physical limitations by fatigue and arthritis. Thirdly, in the psychological aspect, the patient was afraid of heart attack caused by physical exercise. This fear reduced the patient's perception of self-efficacy in physical exercise after PCI therapy. To overcome these obstacles, the following nursing interventions were suggested: (1) to enhance patients?understanding of the risk of relapse of CAD and the benefits of the physical exercise; (2) to assist patients in managing their physical limitations; and (3) to promote patient's self-efficacy in physical exercise by providing personal guidelines to ensue safety during physical exercise. Moreover, it is important to encourage and recognize the patient's achievements continuously in order to enhance the patient掇 confidence in performing exercise.
以文找文
期刊論文
1.
Resnick, B.、Spellbring, A. M.(2000)。Understanding what motivates older adults to exercise。Journal of Gerontological Nursing,26(3),34-42。
2.
蔡仁貞(19961200)。冠狀動脈病患疲倦感受度、運動耐力與日常活動量之探討。護理研究,4(4),312-320。
延伸查詢
3.
Bandura, Albert(1977)。Self-efficacy: Toward a unifying theory of behavioral change。Psychological Review,84(2),191-215。
4.
Rosenstock, Irwin M.(1974)。The Health Belief Model and Preventive Health Behavior。Health Education & Behavior,2(4),354-386。
5.
Fletcher, Gerald F.、Balady, Gary J.、Amsterdam, Ezra A.、Chaitman, Bernard、Eckel, Robert、Fleg, Jerome、Froelicher, Victor F.、Leon, Arthur S.、Piña, Ileana L.、Rodney, Roxanne、Simons-Morton, Denise A.、Williams, Mark A.、Bazzarre, Terry(2001)。Exercise standards for testing and training: a statement for healthcare professionals from the American Heart Association。Circulation,104(14),1694-1740。
6.
江儀輝、李篤宜、李仁忠、程俊傑(1997)。冠狀動脈氣球擴張術及血管支架法之介紹與探討。中華放射線技術學雜誌,21(l),45 - 490。
延伸查詢
7.
劉秉彥、陳志鴻(2002)。冠狀動脈疾病。科學發展,352,48 - 53。
延伸查詢
8.
Al-Ali, N.,、Hadda, L. G.(2004)。The effect of the health belief model in explaining exercise participation among Jordanian myocardial infarction patients。Journal of Transcultural Nursing,15(2),114-121。
9.
Allison, M. J.,、Keller, C.(2002)。Physical activity maintenance in elders with cardiac problem。Geriatric Nursing,21(4),200-203。
10.
Carlson, J. J., Norman, G. J., Feltz, D. L., Franklin, B. A. Johnson, J. A.,、Lock, S. K.(2001)。Self-efficacy, psychosocial factors, and exercise behavior in traditional versus modified cardiac rehabilitation。Journal of Cardiopulmonary Rehabilitation,21,363-373。
11.
Gulanick, M., Bliley, A., Perino, B.,、Keough, V.(1998)。Recovery patterns and lifestylechanges after coronary angioplasty: The patient perspective。Heart & Lung,27(4),253-262。
12.
Jackson, J. D., Joseph, B., Muhlestein, T., Bunch, J.,Bair, T. L., Home, B. D., et al.(2003)。ß- Blockers reduce the incidence of clinical restenosis: Prospective study of 4840 patients undergoing percutaneous coronary revisualization。American Heart Journal,145(5),885-881。
13.
Johnson, N. A.,、Heller, R. F.(1998)。Predictor of patient nonadherence with home-based exercise for cardiac rehabilitation: The role of perceived barrier and perceived benefits。Preventive Medicine,27(1),56-64。
14.
Roberson, D.、Keller, C.(1992)。Relationships among health belief, self-efficacy and exercise adherence in patients with coronary artery disease。Heart Lung,21(1),56-63。
15.
Thompson, P. D., Buchner, D., Pina, IL., Balady, G. J., Williams, M. A., Marcus, B. H., et al.(2003)。Exercise and physical activity in the prevention and treatment of atherosclerotic cardiology disease。Circulation,107,3109- 3116。
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