基于时机理论的双心护理模式对老年急性心肌梗死PCI术后患者心理状态、自我管理能力及应对方式的影响

Influences of dual-heart nursing model based on timing theory on psychological state,self-management ability and coping style of elderly patients with acute myocardial infarction after percutaneous coronary intervention

目的探讨基于时机理论的双心护理模式对老年急性心肌梗死经皮冠状动脉介入术(PCI)术后患者心理状态、自我管理能力及应对方式的影响。方法选取2016年10月至2019年10月收治的92例行PCI手术的老年急性心肌梗死患者,采用数字法将其分对照组(常规护理干预)和观察组(常规护理+基于时机理论的双心护理模式干预),各46例,比较两组的护理效果。结果干预后,观察组的SAS、SDS评分显著低于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的CSMS、GSES评分高于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的CSQ评分高于对照组,差异具有统计学意义(P<0.05)。结论基于时机理论的双心护理模式有助于促进老年急性心肌梗死PCI术后患者心理状态、应对方式的改善,可提高其自我管理能力,值得推广。

Objective To investigate the influences of dual-heart nursing model based on timing theory on psychological state,self-management ability and coping style of elderly patients with acute myocardial infarction after percutaneous coronary intervention(PCI).Methods A total of 92 elderly patients with acute myocardial infarction admitted and underwent PCI from October 2016 to October 2019 were selected and divided into control group(routine nursing intervention)and observation group(routine nursing+dual-heart nursing model based on timing theory)by digital method,with 46 cases in each group.The nursing effect of the two groups was compared.Results After the intervention,the SAS and SDS scores of the observation group were significantly lower than those of the control group,the differences were statistically significant(P<0.05).After the intervention,the CSMS and GSES scores of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).After the intervention,the CSQ score of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion The dual-heart nursing model based on the timing theory is helpful to improving the mental state and coping styles of elderly patients with acute myocardial infarction after PCI,and it can improve their self-management ability,and which is worthy of promotion.