目标达到理论对急性心肌梗死患者心血管风险和健康行为及生活质量的价值

Effect of goal attainment theory on cardiovascular risks,behavioral modification,and quality of life for the first episode of acute myocardial infarction patients

目的探讨目标达到理论对首发急性心肌梗死(AMI)患者心血管风险及健康行为和生活质量的应用价值。方法选取2018年10月~2019年10月我院心内科急诊住院治疗的首发AMI患者84例为研究对象,按电脑随机软件分为观察组(n=41)和对照组(n=43)。对照组给予心内科介入治疗常规护理,观察组在常规护理基础上再实施目标达到理论的心血管风险管理教育。对比分析两组6个月内的心血管风险、健康行为和生活质量。结果两组患者6个月内发生心血管风险评分呈显著正相关,观察组评分为10.06~9.46,对照组评分为9.28~8.15,效应量=0.39;观察组的空腹血糖水平显著下降,且明显低于对照组(F=4.285,P=0.016);观察组健康行为表现和心理生活质量得分均明显优于对照组(P<0.05)。结论目标达到理论的计划管理适用于首发AMI患者,既可促进降低患者心血管风险和血糖水平,还可有效改善患者6个月内的健康行为和生活质量,具有临床推广应用价值。

Objective To explore the application value of goal attainment theory in the cardiovascular risk,healthy behavior and quality of life in patients with first-episode acute myocardial infarction(AMI).Methods 84 first-episode AMI patients in our hospital from October 2018 to October 2019 were selected as the research objects,and they were divided into observation group(n=41)and control group(n=43)according to the computer random software.The control group was given routine nursing of interventional therapy in cardiology department,and the observation group was given cardiovascular risk management education based on the control group.The cardiovascular risk,health behavior and quality of life were compared between the two groups within 6 months.Results There was a significant positive correlation between the cardiovascular risk scores of the two groups within 6 months.The score of the experiment group was 10.06-9.46,the score of the control group was 9.09-8.15,and the effective amount was 0.39.The fasting blood glucose level of the experimental group was significantly lower than that of the control group(F=4.285,P=0.016).The performance of healthy behavior and the score of psychological life quality of the experimental group were significantly better than that of the control group(P<0.05).Conclusion Objective to achieve the theory of plan management is applicable to the first AMI patients.It can not only reduce the cardiovascular risk and blood sugar level,but also improve the healthy behavior and psychological life quality of patients within 6 months,which has clinical application value.