急性心肌梗死PCI术后患者应用聚焦解决护理模式的效果评价

Evaluation of the Effectiveness of Focused Solution Nursing Model in Patients with Acute Myocardial Infarction after PCI Surgery

目的探究聚焦解决护理模式在急性心肌梗死PCI术后患者护理中的应用价值。方法本次纳入对象均于2020年1月至2023年3月期间到院接受经皮冠状动脉介入术(PCI)治疗的急性心肌梗死患者,共纳入研究对象98例,按照随机数字表法分为研究组(n=49)及对照组(n=49)。其中,研究组行聚焦解决护理模式,对照组行常规护理模式。观察聚焦解决护理模式对急性心肌梗死PCI术后患者心理弹性、自我护理能力以及心血管不良事件发生率的影响。结果干预前,两组组间心理弹性中文评估量表(Connor-Davisson Resilience Scale,CDRISC)、自我护理能力量表(The Self-care Ability Scale for the Elderly,ESCA)评分之间均不存在明显差异(P>0.05);干预后,研究组坚韧、自强、乐观评分以及健康知识水平、自我概念、自我责任感、自我护理技能均高于对照组(P<0.05);干预1个月后,研究组患者的2.04%心血管不良事件发生率明显低于对照组的16.33%(P<0.05)。结论急性心肌梗死PCI术后患者护理中选择聚焦解决护理模式的应用效果明显,可降低心血管不良事件发生概率,提高患者自护能力,改善患者不良心理状态。

Objective To explore the application value of focused solution nursing mode in the care of patients after PCI for acute myocardial infarction.Methods This study included 98 patients with acute myocardial infarction who underwent percutaneous coronary intervention(PCI)at the hospital from January 2020 to March 2023.They were randomly divided into a study group(n=49)and a control group(n=49)according to the random number table method.The study group received focused solution nursing mode,while the control group received routine nursing mode.Observing the impact of a focused problem-solving nursing model on the psychological resilience,self-care ability,and incidence of cardiovascular adverse events in patients after PCI for acute myocardial infarction.Result Before intervention,there was no significant difference in the scores of the Connor Davis Resilience Scale(CDRISC)and the Self-care Ability Scale for the Elderly(ESCA)between the two groups(P>0.05);After intervention,the study group had higher scores of resilience,self-improvement,optimism,health knowledge level,self-concept,sense of responsibility,and self-care skills than the control group(P<0.05);After one month of intervention,the incidence of cardiovascular adverse events in 2.04% of patients in the study group was significantly lower than that in 16.33% of patients in the control group(P<0.05).Conclusion The application of the focused solution nursing model in the care of patients with acute myocardial infarction after PCI surgery has a significant effect,which can reduce the probability of cardiovascular adverse events,improve the patient's self-care ability,and improve the patient's adverse psychological state.