Application effect of timing theory on self-management and medication adherence in patients with percutaneous coronary intervention

Abstract

Objective To investigate the effect of intervention theory based on timing theory on self-management behavior and medication compliance of patients with percutaneous coronary intervention (PCI) . Methods A total of 126 patients who underwent PCI in People's Hospital of He'nan Province in 2018 were enrolled, including 67 who had PCI from April to June in 2018 in the experimental group and 59 who had PCI from January to March in 2018 in the control group. Patients in the control group received routine nursing intervention. The patients in the experimental group were treated with an intervention program based on timing theory. The Coronary Heart Disease Self-Management Scale and the Morisky Medication Adherence Questionnaire were used to compare the effects of the intervention. Results After intervention, the scores of daily life management (17.11±3.62) , bad habit management (16.33±4.36) , disease knowledge management (17.11±3.68) , symptom management (14.25±4.15) , first aid management (13.55±4.27) , treatment compliance management (11.13±3.62) and emotional cognitive management (15.69±4.25) in the experimental group were higher than the control group with (14.57±3.69) , (14.17±3.88) , (14.36±3.56) , (12.34±4.46) , (10.41±3.89) , (7.69±4.14) , (13.23±4.32) respectively, and the differences were statistically significant (t=3.895, 2.921, 4.250, 2.489, 4.293, 4.976, 3.217; P<0.05) . After the intervention, the scores of the medication adherence questionnaire in the experimental group was (6.35±1.12) , and the control group was (5.92±1.17) . The difference between the two groups was statistically significant (t=2.106, P=0.037) . Conclusions Timing theory can improve the self-management behavior and medication compliance of PCI patients, and can be applied in clinical practice. Key words: Medication adherence; Percutaneous coronary intervention; Timing theory; Self-management