赋权教育联合聚焦护理模式对急性心肌梗死患者的影响

Effect of empowerment education combined with focused nursing model on patients with acute myocardial infarction

目的探讨赋权教育联合聚焦护理模式对急性心肌梗死患者积极度及自理能力的影响。方法抽取2021年1—6月在广州市某三级甲等医院就诊的急性心肌梗死患者80例为研究对象,按照组间基本资料具有可比性的原则分为对照组和观察组,由于样本脱落,最终得到对照组36例和观察组38例。对照组采用常规护理,观察组在对照组基础上应用赋权教育联合聚焦护理模式。比较两组患者积极度、自我护理能力评分以及心血管不良事件发生率。结果干预3个月后,观察组患者自我疾病健康管理的意识、疾病预防相关能力、坚持健康生活行为的信念评分均高于对照组,差异有统计学意义(P<0.05),而两组患者疾病治疗相关知识评分比较差异无统计学意义(P>0.05);干预3个月后,观察组患者健康知识水平、自我概念、自我责任感、自我护理技能评分均高于对照组,差异有统计学意义(P<0.05);干预3个月后,观察组患者心血管不良事件发生率低于对照组,差异有统计学意义(P<0.05)。结论赋权教育联合聚焦护理模式可提升急性心肌梗死患者积极度和自理能力,降低心血管不良事件发生率。

Objective To explore the effect of empowerment education combined with focused nursing model on the motivation and self-care ability of patients with acute myocardial infarction.Methods A total of 80 acute myocardial infarction patients who were treated in a tertiary hospital in Guangzhou from January to June 2021were selected as the study objects,and they were divided into a control group and an observation group according to the principle of comparability of the basic data between the groups.Due to the drop out of the samples,36 cases in the control group and 38 cases in the observation group were finally obtained.The control group was given routine nursing,and the observation group was given empowerment education combined with focused nursing mode on the basis of the control group.The enthusiasm,self-care ability score and the incidence of cardiovascular adverse events were compared between the two groups.Results After 3 month of intervention,the scores of selfhealth management awareness,disease prevention-related ability,and belief in healthy life behavior adherence in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the scores of knowledge about disease treatment between the two groups(P>0.05).After 3 month of intervention,the scores of health knowledge level,self-concept,self-responsibility,and self-care skills in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After 3 month of intervention,the incidence of cardiovascular adverse events in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Empowerment education combined with focused nursing model can improve the enthusiasm and self-care ability of acute myocardial infarction patients,and reduce the incidence of cardiovascular adverse events.