基于聚焦解决模式的护理干预对急性ST段抬高心肌梗死患者的影响

Effect of Nursing Intervention Based on Focused Resolution Model on Patients with Acute ST Segment Elevation Myocardial Infarction

目的:观察基于聚焦解决模式的护理干预对急性ST段抬高心肌梗死(STAMI)患者的影响。方法:将76例STAMI患者采用对照双盲法随机分为两组,每组38例。对照组予以常规护理措施干预,观察组予以基于聚焦解决模式的护理措施干预。比较两组患者护理干预前后心率(HR)、左室射血分数(LVEF)及左室舒张末径(LVEDD)等心功能指标、CCU重返率、CCU住院时间、心血管不良事件发生率、CCU住院治疗费用、理论知识、遵医行为及自护能力。结果:两组患者护理干预前HR、LVEF及LVEDD心功能指标比较差异均无统计学意义(P>0.05);护理干预后两组HR及LVEDD均明显降低(P<0.05),LVEF明显升高(P<0.05),且观察组HR及LVEDD均低于对照组,LVEF高于对照组,差异有统计学意义(P<0.05)。观察组患者CCU住院时间明显短于对照组(P<0.05),CCU住院治疗费用明显少于对照组(P<0.05),且CCU重返率和心血管不良事件发生率明显低于对照组(P<0.05)。观察组患者护理干预后理论知识、遵医行为及自护能力评分均明显高于对照组,差异有统计学意义(P<0.05)。结论:基于聚焦解决模式的护理干预不仅可明显改善STAMI患者心功能及预后,还可提高患者理论知识、遵医行为及自护能力。

Objective:To observe the effect of nursing intervention based on focused resolution model on patients with acute ST segment elevation myocardial infarction (STAMI).Method:A total of 76 STAMI patients were randomly divided into two groups by double-blind control method,with 38 cases in each group.The control group received routine nursing intervention and the observation group received nursing intervention based on focused resolution model.The cardiac function indexes such as heart rate (HR),left ventricular ejection fraction (LVEF) and left ventricular end-diastolic diameter (LVEDD),CCU return rate,length of CCU hospital stay,the incidence of cardiovascular adverse events,CCU hospitalization expenses,the theoretical knowledge,compliance behavior,self-nursing ability of two groups were compared between the two groups before and after nursing intervention.Result:There were no significant differences in cardiac function indexes of HR,LVEF and LVEDD between the two groups before nursing intervention (P>0.05).After nursing intervention,HR and LVEDD in both groups were significantly decreased (P<0.05),and LVEF was significantly increased (P<0.05).Moreover,HR and LVEDD in the observation group were lower than those in the control group,and LVEF was higher than that in the control group,the differences were statistically significant (P<0.05).The length of CCU hospital stay of observation group was significantly shorter than that of control group (P<0.05),CCU hospitalization expenses was significantly less than that of control group (P<0.05),and CCU return rate and incidence of cardiovascular adverse events were significantly lower than those of control group (P<0.05).After nursing intervention,theoretical knowledge,compliance behavior and self-nursing ability scores of patients in the observation group were significantly higher than those in the control group,the differences were statistically significant (P<0.05).Conclusion:The nursing intervention based on focused resolution model can not only significantly improve cardiac function and prognosis of STAMI patients,but also improve patients’ theoretical knowledge,compliance behavior and self-nursing ability.