KTH整合护理干预对急性心肌梗死患者PCI术后心脏康复效果的影响

Effect of KTH integrated nursing intervention on cardiac rehabilitation after PCI in patients with acute myocardial infarction

目的 探讨基于知信行实践模式(KABP)-跨理论模式(TTM)-健康信念模式(HBM)的KTH整合护理模式对急性心肌梗死(AMI)患者经皮冠状动脉介入治疗(PCI)术后心脏康复(CR)效果的影响。方法 选择2020年3月—2021年9月在济宁医学院附属滕州市中心人民医院收治的90例接受PCI的AMI患者作为研究对象,按照组间资料均衡可比的原则将患者分为观察组和对照组,每组45例。对照组实施常规心脏康复护理,观察组在对照组基础上实施KTH模式心脏康复护理。所有患者均在出院时和术后随访3个月进行评估,比较两组患者干预后NYHA分级情况、运动耐力,干预前后生活自理能力及生活质量情况。结果 术后随访3个月,观察组NYHA分级情况优于对照组(P<0.05),观察组6min步行距离长于对照组(P<0.05);干预后观察组的患者Barthl指数、CQQC各项评分均高于对照组(P<0.05)。结论 基于KTH整合护理干预可以促进AMI患者PCI术后心功能的恢复,帮助患者恢复身体状态和运动耐力,提高生活自理能力,改善术后生活质量。

Objective To explore the impact of the KTH integrated nursing model based on the knowledge,attitude,belief and practice(KABP),transtheoretical model(TTM),and health belief model(HBM)on the cardiac rehabilitation(CR)effect of acute myocardial infarction(AMI)patients after percutaneous coronary intervention(PCI).Methods A total of 90 AMI patients who underwent PCI and were admitted to Tengzhou Central People's Hospital Affiliated to Jining Medical College from March 2020 to September 2021 were selected as the research subjects.According to the principle of balanced and comparable data between groups,the patients were divided into an observation group and a control group,with 45 patients in each group.The control group received routine cardiac rehabilitation care,while the observation group received KTH mode cardiac rehabilitation care on the basis of the control group.All patients were evaluated at discharge and followed up for 3 months after surgery to compare the NYHA grading,exercise endurance,self-care ability,and quality of life of the two groups of patients before and after intervention.Results After a follow-up of 3 months,the NYHA grading in the observation group was better than that in the control group(P<0.05),6 minutes walking distance in the observation group was longer than that in the control group(P<0.05).After intervention,the Barthl index and CQQC scores of patients in the observation group were higher than those in the control group(P<0.05).Conclusion KTH integrated nursing intervention can promote the recovery of cardiac function in AMI patients after PCI,help them recover their physical state and exercise endurance,improve their self-care ability,and improve their postoperative quality of life.