IKAP健康教育模式对心肌梗死经皮冠状动脉介入治疗患者的影响

Clinical Effects of IKAP Health Education Model on Patients with Myocardial Infarction Undergoing Percutaneous Coronary Intervention Treatment

目的:探讨IKAP健康教育模式对心肌梗死经皮冠状动脉介入治疗(PCI)患者的影响。方法:选取2021年5月1日~12月31日收治的262例心肌梗死PCI患者作为研究对象,采用随机数字表法分为研究组和对照组各131例,对照组给予常规健康教育,研究组给予IKAP健康教育模式,两组干预至出院,并随访6个月;比较两组干预前后心功能指标[包括左心室射血分数(LVEF)、左心室收缩末期容积指数(LVEDVI)、左心室舒张末期容积指数(LVESVI)]、自我管理能力[采用冠心病相关自我管理量表(CSMS)]、健康行为[采用健康促进生活方式量表Ⅱ(HPLPⅡ)],心血管不良事件发生情况。结果:干预后,两组LVEF、LVESVI、LVEDVI指标均优于干预前(P<0.05),且研究组优于对照组(P<0.05);干预后,两组CSMS评分高于干预前(P<0.05),且研究组CSMS中不良嗜好管理、治疗依从性管理、疾病知识获得管理、情绪认知管理、一般生活管理评分均高于对照组(P<0.01);干预后,两组HPLPⅡ评分高于干预前(P<0.05),且研究组高于对照组(P<0.05,P<0.01);研究组心血管不良事件发生率低于对照组(P<0.05)。结论:将IKAP健康教育模式应用于心肌梗死PCI患者中,可改善心功能,增强自我管理能力,纠正不良生活方式,降低心血管不良事件发生率。

Objective:To investigate the effect of IKAP health education model on patients with myocardial infarction after percutaneous coronary intervention(PCI).Methods:A total of 262 patients with PCI of myocardial infarction treated from May 1 to December 31,2021 were selected and divided into the study group(n=131)and the control group(n=131)by random number table method.The control group was given routine health education,and the study group was given IKAP health education model.The two groups were treated until discharge and followed up for 6 months.Cardiac function indexes by including left ventricular ejection fraction(LVEF),left ventricular end-diastolic volume index(LVEDVI),left ventricular end-systolic volume index(LVESVI),self-management ability by Coronary Heart Disease Self-Management Scale(CSMS),and health behavior by Health Promotion Lifestyle Scale II(HPLPⅡ)and cardiovascular adverse events were compared between the two groups before and after intervention.Results:After intervention,LVEF,LVESVI and LVEDVI indexes in both groups were better than those before intervention(P<0.05),and the study group was better than the control group(P<0.05).After intervention,CSMS scores in both groups were higher than those before intervention(P<0.05),and the management of undesirable habits,treatment compliance,disease knowledge acquisition,emotional cognition and general life management of CSMS in the study group were higher than those in the control group(P<0.01).After intervention,HPLPⅡscores in both groups were higher than those before intervention(P<0.05),and the scores of study group was higher than that of the control group(P<0.05,P<0.01).The incidence of cardiovascular adverse events in the study group was lower than that in the control group(P<0.05).Conclusion:Applying the IKAP health education model to PCI patients with myocardial infarction can improve heart function,enhance patient self-management ability,correct unhealthy lifestyle,and reduce the incidence of cardiovascular adverse events.