三元联动模式管理对社区老年冠心病患者行为管理及心血管急性事件预防效果的研究  

Study on the Effect of Three-dimensional Linkage Model Management on Behavior Management and Prevention of Cardiovascular Acute Events in Elderly Patients with Coronary Heart Disease in Community

作　　者：王闪闪 张传西 WANG Shan-shan;ZHANG Chuan-xi(Department of Cardiology,Zhengzhou Seventh People’s Hospital,Zhengzhou,Henan,450000,China)

机构地区：[1]郑州市第七人民医院心内科,河南郑州450000

出　　处：《黑龙江医学》2022年第3期357-359,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨三元联动模式管理对社区老年冠心病患者行为管理及心血管急性事件预防效果的研究。方法:选取2018年3月—2019年3月郑州市第七人民医院收治的128例冠心病患者作为研究对象,采用随机数表法将其分为对照组63例与观察组65例。对照组给予常规出院指导,观察组予以三元联动模式管理。1年后,比较两组患者疾病相关知识知晓和掌握情况、自我管理行为得分、心血管不良事件发生率。结果:观察组患者的疾病相关知识知晓和掌握情况均高于对照组,其中药物知识、预防知识、诱发因素方面比较,差异有统计学意义(χ^(2)=4.435、7.855、4.385,P<0.05)。观察组患者日常生活管理、疾病医学管理、情绪管理及自我管理得分均明显高于对照组,差异有统计学意义(t=12.297、9.352、9.184、4.786,P<0.05);观察组患者总心血管不良事件发生率为9.23%,明显低于对照组的25.40%,差异有统计学意义(χ^(2)=5.874,P<0.05)。结论:三元联动模式管理对社区老年冠心病患者有重要意义,可有效降低不良事件发生率,提高患者的生活质量。Objective:To explore the effect of three-dimensional linkage model management on behavior management and pre⁃vention of cardiovascular acute events in elderly patients with coronary heart disease.Methods:A total of 128 patients with coro⁃nary heart disease admitted to the hospital from March 2018 to March 2019 were randomly divided into control group(n=63)and observation group(n=65).The control group was given routine discharge guidance,and the observation group was managed by three-dimensional linkage model.After 1 year,the knowledge of disease,the score of self-management behavior and the incidence of cardiovascular adverse events were compared between the two groups.Results:The rate of knowing and mastering disease-relat⁃ed knowledge in the observation group was higher than that in the control group,with statistically significant difference(χ^(2)=4.435,7.855,4.385,P<0.05).The scores of daily life management,disease medicine management,emotion management and self-manage⁃ment in the observation group were significantly higher than those in the control group,with statistically significant difference(t=12.297,9.352,9.184,4.786,P<0.05).The total incidence of cardiovascular adverse events in the observation group was 9.23%,significantly lower than 25.40%in the control group(χ^(2)=5.874,P<0.05).Conclusion:The application of air tourniquet combined with targeted operating room nursing in patients undergoing total knee arthroplasty can effectively relieve postoperative pain,pro⁃mote the recovery of joint function and reduce the probability of complications.

关 键 词：三元联动 社区 老年冠心病 行为管理 急性事件 预防 

分 类 号：R473.2[医药卫生—护理学]