ESPCS护理模式在心肌梗死患者中的应用

Application of ESPCS nursing mode in patients with myocardial infarction

探究讲解-模拟-练习-沟通-支持模式(ESPCS)在心肌梗死(AMI)患者中的应用价值.以2019年4月~2021年5月86例AMI患者为研究对象,采用随机数表法将其分为对照组及研究组,43例/组.对照组给予常规护理干预,研究组给予ESPCS护理模式干预.观察两组患者干预前后自我感受负担量表(SPBS)、医学应对方式问卷(MCMQ)、西雅图心绞痛量表(SAQ)及中国心血管病人生活质量评定问卷(CQQC)评分变化情况,比较两组患者干预期间遵医嘱行为、再住院率及心血管不良事件发生率.结果表明:干预后,研究组SPBS、MCMQ评分均低于对照组(P<0.05),SAQ、CQQC评分均高于对照组(P<0.05);研究组饮食依从性高于对照组(P<0.05),两组再住院率及心血管不良事件发生率对比无明显差异(P>0.05).由此可见,将ESPCS护理模式应用到AMI的临床干预中,可改变患者对疾病的应对方式,减轻其心理负担及心绞痛程度,并能起到改善生活质量的作用.

To explore the value of Explanation-Simulation-Practice-Communication-Support model(ESPCS)in patients with myocardial infarction(AMI),86 patients with AMI from April 2019 to May 2021 were divided into control group and study group by random number table method,with 43 cases in each group.The control group was given routine nursing intervention,while the study group was given ESPCS nursing intervention.The scores of self-perceived burden scale(SPBS),Medical Coping Style Questionnaire(MCMQ),Seattle Angina Questionnaire(SAQ)and Chinese cardiovascular patients quality of life questionnaire(CQQC)were observed before and after intervention.The compliance behavior,rehospitalization rate and incidence of cardiovascular adverse events were compared between the two groups.The results showed that after the intervention,the scores of SPBS and MCMQ in the study group were lower than those in the control group(P<0.05),and the scores of SAQ and CQQC were higher than those in the control group(P<0.05),and the dietary compliance of the study group was higher than that of the control group(P<0.05).There were no significant differences in rehospitalization rate and incidence of cardiovascular adverse events between the two groups(P>0.05).Therefore,the application of ESPCS nursing mode in clinical intervention of AMI can change the patient′s coping style to the disease,reduce their psychological burden and the degree of angina pectoris,and improve the quality of life.