格林模式在冠心病PCI术后患者中的应用效果评价

Application effects of Green model in patients with coronary heart disease after percutaneous coronary intervention operation

目的探讨格林模式在冠心病PCI术后患者中的应用效果。方法随机选取2016年10月至2017年4月洛阳市某三级甲等医院心内科患者100例,均为诊断为冠心病并接受PCI治疗者,依据抽样法将其分为干预组与对照组,每组50例。对照组给予常规护理,干预组在常规护理基础上应用格林模式进行护理,采用Mosisky服药依从性量表监测两组患者服药依从性,比较其干预后1、3个月的量表评分。结果干预后1个月,两组患者服药依从性均高于干预前(P<0.05)。干预后3个月,干预组服药依从性量表评分为(2.77±1.98)分,对照组为(2.01±1.47)分。结论格林模式健康教育可发现患者用药及心理问题,以便及时采取有效措施控制危险因素,进而提高冠心病患者PCI术后服药依从性。

Objective To investigate the application effects of Green model on patients with coronary heart disease after percutaneous coronary intervention （PCI） operation. Methods A total of 100 patients diagnosed as coronary heart disease （CHD） and received PCI operation in department of cardiol- ogy from October 2016 to April 2017 in a grade A tertiary hospital were selected and randomly divided in- to the intervention group and the control group according to the sampling method, with 50 cases in each group. The patients in the control group were treated by routine nursing, and the patients in the interven- tion group were treated by Green model on the basis of the routine nursing. The compliance of the pa- tients in the two groups were monitored by the Mosisky medication compliance scale, and the scale score of the intervention for 1 and 3 months were compared. Results After 1 month of intervention, the com- pliances of the patients in the two groups were higher than those before intervention （P 〈 0. 05）. After 3 months＇ intervention, the medication compliance scale of the intervention group was （2.77 ±1.98 ） points, which was （2.01 ±1.47 ） points in the control group. Conclusions Green model health educa- tion can find patients＇ medication and psychological problems, so as to take effective measures to control the risk factors in time, and improve the compliance of the patients with coronary heart disease after PCI.