Effects of timing theory on home care in patients with acute coronary syndrome

Abstract

Objective To explore the application of timing theory in home care of patients with acute coronary syndrome. Methods A total of 90 patients with acute coronary syndrome admitted to the Second People's Hospital of Wuxi in Jiangsu Province from February 2016 to February 2017 were selected, and randomly divided into control group and study group, with 45 cases each. The control group was given routine nursing intervention, while the study group was given home-based care intervention based on timing theory. The quality of life and negative emotions were compared between the two groups, using Self-Rating Anxiety Scale (SAS) , Self-Rating Depression Scale (SDS) , Seattle Angina Questionnaire (SAQ) and Athens Insomnia Scale (AIS) . Results The scores of SAS and SDS of the control group after intervention were (61.7±2.0) and (52.4±1.3) respectively, which were both higher than those of the observation group, and the differences were statistically significant (t=27.295, 23.129; P<0.001) . After 3 months of nursing intervention, the quality of life of patients in both groups has been improved. SAQ scores in different division were as follow: limitation of physical activity (64.1±10.9) , angina attack (89.7±12.0) , stable angina pectoris (91.5±7.2) , disease cognition (88.5±9.2) and satisfaction of treatment (91.6±10.8) . Those scores were all higher than those of the control group. The differences were statistically significant (P<0.05) . The score of sleeping time of the study group was (1.8±0.6) , and that of the control group was (1.5±0.5) . The difference in the sleeping quality between the two groups was statistically significant (t=2.577, P<0.05) . Conclusions Home care intervention based on timing theory for patients with acute coronary syndrome can improve the quality of life and treatment effect, reduce anxiety and depression, and is worth popularizing and applying. Key words: Family nursing; Timing theory; Acute coronary syndrome; Negative emotion