IKAP理论延续护理模式对急性心肌梗死经皮冠状动脉介入术后患者生活质量影响的研究

Study on the Effect of IKAP Theory Continuation Nursing Model on the Quality of Life of Patients with Acute Myocardial Infarction After Percutaneous Coronary Intervention

目的探讨基于信息-知识-信念-行为(IKAP)理论延续护理模式对急性心肌梗死经皮冠状动脉介入术后患者心肺功能以及生活质量的影响。方法选取2019年3月-2021年5月本院收治的84例急性心肌梗死经皮冠状动脉介入术后患者为研究对象,随机等分为研究组与对照组,研究组接受IKAP理论延续护理模式进行干预,对照组接受常规护理,对比护理后两组患者的生活质量,护理前后心肺功能改善情况及各组护理满意度。结果护理结束后,研究组患者在生理、情感、社会等方面的生活质量均优于对照组(P<0.05);护理前后,患者的CO、CI及LVEF等心功能指标以及FEV_(1)、FVC及PEF等肺功能指标均有改善,且护理后研究组的以上水平均高于对照组,差异有统计学意义(P<0.05);研究组的护理满意度更高(P<0.05)。结论IKAP理论延续护理模式对急性心肌梗死经皮冠状动脉介入术后患者心肺功能以及生活质量具有积极影响,该护理模式值得推广。

Objective To explore the effect of continuing nursing model based on the information-knowledge-belief-behavior(IKAP)theory on the cardiopulmonary function and quality of life of patients with acute myocardial infarction after percutaneous coronary intervention.Methods A total of 84 patients with acute myocardial infarction after percutaneous coronary intervention in our hospital from March 2019 to May 2021 were selected as the research objects,and they were randomLy divided into the study group and the control group.The study group received IKAP theoretical continuation care Mode of intervention,the control group received routine care,the quality of life of the two groups of patients after care,the improvement of cardiopulmonary function before and after care,and the satisfaction of each group of care were compared.Results After the nursing,the quality of life of the patients in the study group was better than that of the control group in terms of physiology,emotion and society,(P<0.05);before and after nursing,the patients’cardiac function indexes such as CO,CI and LVEF as well as FEV_(1),FVC Pulmonary function indexes such as PEF and PEF were improved,and the above level of the study group after nursing was higher than that of the control group(P<0.05);the nursing satisfaction of the study group was higher(97.62%vs78.57%),the difference was statistical The significance of learning(P<0.05).Conclusion IKAP theory continuation of nursing model has a positive impact on the cardiopulmonary function and quality of life of patients with acute myocardial infarction after percutaneous coronary intervention.This nursing model is worthy of promotion.