Observational Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 26, 2021; 9(33): 10189-10197
Published online Nov 26, 2021. doi: 10.12998/wjcc.v9.i33.10189
Effect of nursing intervention based on Maslow's hierarchy of needs in patients with coronary heart disease interventional surgery
Ji-Xue Xu, Lin-Xue Wu, Wei Jiang, Gui-Hong Fan
Ji-Xue Xu, Lin-Xue Wu, Wei Jiang, Gui-Hong Fan, Department of Nursing, First Affiliated Hospital of Qiqihar Medical College, Qiqihar 161000, Heilongjiang Province, China
Author contributions: Xu JX and Fan GH designed the research study; Xu JX and Wu LX performed the research; Jiang W analyzed the data and wrote the manuscript; All authors have read and approve the final manuscript.
Institutional review board statement: The study was reviewed and approved by The First Affiliated Hospital of Qiqihar Medical College Institutional Review Board (Approval No. 202103).
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare having no conflicts of interest.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Gui-Hong Fan, BM BCh, MD, Associate Chief Nurse, Department of Nursing, First Affiliated Hospital of Qiqihar Medical College, No. 26 Xiangyang Street, Fularji District, Qiqihar 161000, Heilongjiang Province, China. 13514647688@163.com
Received: July 15, 2021
Peer-review started: July 15, 2021
First decision: July 26, 2021
Revised: August 5, 2021
Accepted: September 19, 2021
Article in press: September 19, 2021
Published online: November 26, 2021
Processing time: 130 Days and 2.6 Hours
Abstract
BACKGROUND

It is very important to provide effective nursing programs to regulate the physical and mental state of patients and to improve treatment compliance after interventional surgery for coronary heart disease (CHD).

AIM

To explore the effect of a nursing intervention based on Maslow’s hierarchy of needs theory on patients with CHD undergoing percutaneous coronary intervention.

METHODS

Ninety-four patients with CHD undergoing interventional surgery in our hospital from January 2020 to February 2021 were randomly divided into a research group (n = 47) and a control group (n = 47). The control group received routine nursing, and the research group received a nursing intervention based on Maslow’s hierarchy of needs theory. The scores of self-efficacy, negative emotion [depression (SDS), anxiety (SAS)], intervention compliance (standardized medication, moderate exercise, healthy diet, and regular review), and nursing satisfaction were calculated before and after intervention for the two groups.

RESULTS

Before intervention, there was no significant difference in the scores of disease general management self-efficacy, disease management self-efficacy, and total self-efficacy between the two groups (P = 0.795, 0.479, and 0.659, respectively). After intervention, these three scores in the research group were higher than those in the control group (P < 0.001). Before intervention, there was no significant difference in the scores of SAS and SDS between the two groups (P = 0.149 and 0.347, respectively). After intervention, the scores of SAS and SDS in the research group were lower than those in the control group (P < 0.001). The standardized drug use rate (97.87%), moderate exercise rate (97.87%), healthy diet rate (95.74%), and regular reexamination rate (97.87%) in the research group were higher than those in the control group (85.11%, 82.98%, 80.85%, and 87.23%, respectively) (P = 0.027, 0.014, 0.025, and 0.049, respectively). Nursing job satisfaction in the research group (93.62%) was higher than that in the control group (78.72%) (P = 0.036).

CONCLUSION

A nursing program based on Maslow’s hierarchy of needs theory can effectively alleviate negative emotion, enhance self-efficacy and intervention compliance, and ensure that the patients are highly satisfied with the nursing work.

Keywords: Maslow’s hierarchy of needs; Nursing; Coronary heart disease; Interventional surgery; Compliance

Core Tip: Maslow’s hierarchy of needs theory divides human needs into five levels, namely, physiology, safety, attribution and love, respect, and self-realization. It advocates nursing care according to the stage of the patient to meet the individual pathological psychological needs to the maximum extent.