协同护理模式对急性心肌梗死PCI患者自我护理能力的影响

The Intervention of Collaborative Nursing Model on Self-care Ability of Acute Myocardial Infarction Patients With PCI

目的为了提高急性心梗经皮冠状动脉介入术(percutaneous coronary intervention,PCI)患者自我护理能力,探讨实施协同护理模式的价值和意义。方法从本院2019年2月—2020年2月收治的急性心梗经皮冠状动脉介入术患者中选取78例作为研究对象,按照随机双盲对照原则将其分为观察组和对照组,各39例,并分别予以常规护理干预和协同护理模式,对比两组生活质量测定量表(quality of life,QOL)评分、自我护理能力(exercise of self-care agency,ESCA)评分的差异。结果研究数据显示,护理后观察组患者的QOL各维度评分较对照组均明显占优势,组间比较差异有统计学意义(P<0.05);观察组和对照组护理前的ESCA评分比较差异无统计学意义(P>0.05),护理后观察组和对照组的ESCA评分较护理前均有增加,但观察组增加幅度明显高于对照组,组间比较差异有统计学意义(P<0.05)。两组遵医嘱行为评分相比,观察组较高,组间差异有统计学意义(P<0.05)。结论急性心梗经皮冠状动脉介入术治疗患者接受协同护理模式,在改善患者日常生活质量的同时也提高了患者的自我护理能力,效果显著,值得推广。

Objective To improve the self-care ability of patients undergoing percutaneous coronary intervention(PCI)for acute myocardial infarction(AMI),and to explore the value and significance of implementing cooperative nursing model.Methods A total of 78 acute myocardial infarction(AMI)patients who underwent percutaneous coronary interention in our hospital from February 2019 to February 2020 were selected as the research object.In accordance with the principle of randomized doubleblind controlled were divided into the observation group and the control group(n=39)and conventional nursing intervention and collaborative care model respectively,the differences of quality of life(QOL)scores and exercise of self-care agency(ESCA)scores between the two groups were compared.Results The research data showed that the QOL scores of patients in the observation group after nursing were significantly superior to those in the control group,and the difference between the two groups was statistically significant(P<0.05).There was no statistically significant difference in ESCA score between the observation group and the control group before nursing(P>0.05).The ESCA score of the observation group and the control group after nursing increased compared with that before nursing,but the increase rate of the observation group was significantly higher than that of the control group,and the difference between the groups was statistically significant(P<0.05).Observation groups showed higher treatment compliance between both groups(P<0.05).Conclusion The cooperative nursing mode for patients with acute myocardial infarction treated by percutaneous coronary intervention not only improves the patients'daily life quality,but also improves the patients'self-nursing ability.The effect is significant and worthy of promotion.