格林模式在心肌梗死患者经皮冠状动脉介入术后康复训练管理中的应用价值分析  

Value of green model in rehabilitation management after percutaneous coronary intervention in patients with myocardial infarction

作　　者：栾澜 韩英 向东贤 孔琳姝 Luan Lan;Han Ying;Xiang Dongxian;Kong Linshu(Department of Cardiovascular Medicine,Jinqiu Hospital of Liaoning Province,Shenyang 110016,China)

机构地区：[1]辽宁省金秋医院心血管内科,沈阳110016

出　　处：《中国医药》2020年第4期513-517,共5页China Medicine

基　　金：辽宁省科学技术计划(2012225020)。

摘　　要：目的探究格林模式在急性心肌梗死(AMI)患者经皮冠状动脉介入(PCI)治疗后康复训练管理中的应用价值。方法纳入2015年2月至2019年1月辽宁省金秋医院收治的124例AMI患者为研究对象,以2015年2月至2017年1月入选的AMI患者(62例)为对照组,PCI术后采用常规康复训练指导;以2017年2月至2019年1月入选的AMI患者(62例)为观察组,PCI术后实施格林模式干预;干预时间均为术后住院期间至出院后3个月。分别于干预前及干预结束时采用Champiom健康信念量表、自我管理行为测定量表、中国心血管患者生活质量评定问卷评估2组患者健康信念、自我管理行为及生活质量。结果观察组干预后Champiom健康信念量表、自我管理行为测定量表、生活质量总评分均明显高于干预前及对照组干预后[(119±26)分比(80±20)、(99±25)分,(127±19)分比(94±15)、(111±14)分,(83±16)分比(58±16)、(68±19)分],差异均有统计学意义(均P<0.05)。结论AMI患者PCI术后康复训练管理中实施格林模式干预,对重塑患者健康信念、改善自我管理行为、提高生活质量具有重要意义。Objective To explore the value of Green model in rehabilitation management forpatients with acute myocardial infarction(AMI) after percutaneous coronary intervention(PCI). Methods A total of 124 patients with AMI undergoing PCI in Jinqiu Hospital of Liaoning Province from February 2015 to January 2019 were divided into 2 groups according to the time of admission: the control group(62 patients) was enrolled from February 2015 to January 2017 and treated with routine postoperative rehabilitation training;the observation group(62 patients)was enrolled from February 2017 to January 2019 and treated with rehabilitation guidance based on Green model.Post-PCI rehabilitation training was performed during hospitalization and in 3 months after discharge. Champiom Health Belief Scale,Self-management Behavior Scale and China Questionnaire of Quality of Life in Patients with Cardiovascular Diseases were used to assess the rehabilitation effect after different intervention measures.Results After intervention,the total scores of Champiom Health Belief Scale,Self-management Behavior Scale and China Questionnaire of Quality of Life in Patients with Cardiovascular Diseases in observation group were significantly higher than those before intervention and those in control group[(119 ± 26) vs(80 ± 20),( 99 ±25);(127 ± 19) vs( 94 ± 15),( 111 ± 14);( 83 ± 16) vs( 58 ± 16),( 68 ± 19)]( all P < 0. 05).Conclusion Rehabilitation training management based on Green model in AMI patients after PCI is of great significance to rebuild the health belief,improve self-management behavior and quality of life.

关 键 词：急性心肌梗死 格林模式 经皮冠状动脉介入 康复训练 

分 类 号：K542.2[历史地理—历史学]