家庭参与配合格林模式在心肌梗死介入治疗患者中的应用效果  

Effects of family participation and Green model in patients with myocardial infarction interventional therapy

作　　者：黄静[1] 孟娟[1] 吴松鸽 霍仙娜 HUANG Jing;MENG Juan;WU Song-ge;HUO Xian-na(Department of Heart Rehabilitation,Zhengzhou Cardiovascular Hospital/Zhengzhou Seventh People's Hospital,Zhengzhou 450016,Henan,China)

机构地区：[1]郑州市心血管病医院、郑州市第七人民医院心脏康复科,河南郑州450016

出　　处：《广东医学》2022年第11期1403-1407,共5页Guangdong Medical Journal

基　　金：河南省医学科技攻关计划(2018020865)。

摘　　要：目的探讨家庭参与配合格林模式在心肌梗死(心梗)介入治疗患者中的应用效果。方法采用便利抽样法,选取心梗介入治疗患者110例,均成功接受经皮冠状动脉介入(PCI)治疗,随机数字表法分为研究组56例与对照组54例。对照组接受常规护理干预,研究组在此基础上接受家庭参与配合格林模式。采用简版冠心病教育问卷(CADE-Q SV)评估患者疾病认知程度,左室收缩末期内径(LVESD)、左室射血分数(LVEF)、6 min步行试验(6MWT)评估患者心功能恢复情况,中国心血管患者生活质量评定问卷(CQQC)判定患者生活质量。结果干预后研究组CADE-Q SV评分高于对照组(P<0.05);干预后研究组LVEF水平高于对照组,LVESD水平低于对照组,6MWD长于对照组(均P<0.05);干预后研究组CQQC体力、病情、一般生活、社会心理状况、医疗状况、工作状况各维度评分高于对照组(均P<0.05)。结论家庭参与配合格林模式应用于心梗介入治疗患者患者,可提高患者疾病认知,促进患者心功能恢复,改善患者生活质量。Objective To investigate the effect of family participation combined with Green model in patients with myocardial infarction interventional therapy.Methods Convenience sampling method was used to select 110 patients with myocardial infarction,all of whom received percutaneous coronary intervention(PCI)successfully.They were randomly divided into the study group(n=56)and the control group(n=54).The control group received routine nursing intervention;and on this basis,the study group received family participation and Green′s model.The coronary artery disease education questionnaire short version(CADE-QSV)was used to evaluate the patients′disease cognition.The left ventricular end systolic diameter(LVESD),left ventricular ejection fraction(LVEF),and 6-min walk test(6 MWT)were used to evaluate the recovery of cardiac function.The Chinese questionnaire of quality of life in patients with cardiovascular diseases(CQQC)was used to determine the quality of life of patients.Results After intervention,the CADE-Q SV score of the study group was significantly higher than that of the control group(P<0.05).After intervention,the LVEF level of the study group was significantly higher than that of the control group;the LVESD level was significantly lower than that of the control group;and the 6 MWD was significantly longer than that of the control group(all P<0.05).The CQQC scores of physical strength,illness,general life,social psychological status,medical status,and work status in the study group were significantly higher than those in the control group(all P<0.05).Conclusion The application of family participation and Green′s model to patients with myocardial infarction interventional therapy can improve patients′disease cognition,promote the recovery of patients′cardiac function,and improve the quality of life of patients.

关 键 词：心肌梗死 家庭参与 格林模式 疾病认知程度 心功能 生活质量 

分 类 号：R1473.5[医药卫生—公共卫生与预防医学] R541.4