互动达标模式下护理干预对PCI术心肌梗死患者遵医行为及心脏不良事件控制的影响  

Effect of nursing intervention on compliance behavior and control of adverse cardiac events in patients with myocardial infarction after PCI

作　　者：刘露 杨帆 贺梦晴 Liu Lu;Yang Fan;He Mengqing(Dangyang People's Hospital,Dangyang,Hubei 444100,China)

机构地区：[1]湖北省当阳市人民医院,湖北当阳444100

出　　处：《首都食品与医药》2023年第17期139-142,共4页Capital Food Medicine

摘　　要：目的分析经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)术治疗的心肌梗死患者开展基于互动达标模式的护理干预效果,探讨其对患者遵医行为、心脏不良事件控制的影响.方法选取2021年7月-2022年7月在当阳市人民医院行PCI术治疗的120例心肌梗死患者按随机数字表法分为两组研究.对照组(n=60)实施常规护理干预,观察组(n=60)实施互动达标模式护理干预.经过3周的干预,比较两组患者的心功能、遵医行为、心脏不良事件发生情况等.结果干预结束后,两组心功能指标均明显改善,观察组左室射血分数(LVEF)为(52.18±6.24)%、肌钙蛋白(cTnI)为(10.34±3.21)ng/L、脑钠肽(BNP)为(50.18±6.29)pg/ml,对照组分别为(49.15±6.49)%、(15.83±4.42)ng/L、(57.41±6.83)pg/ml,差异有统计学意义(P<0.05);观察组心脏不良事件发生率为8.33%,对照组为21.67%,组间比较,差异有统计学意义(P<0.05);观察组的遵医行为评分为(90.31±3.51)分,高于对照组的(73.72±3.77)分,差异有统计学意义(P<0.05),随访结束时,观察组SF-36评分高于对照组,差异有统计学意义(P<0.05).结论心肌梗死PCI术围术期开展互动达标模式护理干预,能够提高患者的遵医行为,从而降低心脏不良事件风险,进一步改善心功能,有利于促进术后生活质量的提升,具有重要的研究价值.Objective To analyze the effect of nursing intervention based on interactive standard mode in patients with myocardial infarction treated by percutaneous coronary intervention(PCI),and to explore its influence on compliance behavior and adverse cardiac events control.Methods A total of 120 patients with myocardial infarction PCI from July 2021 to July 2022 were randomly divided into two groups.The control group(n=60)received routine nursing intervention,and the observation group(n=60)received interactive standard-reaching nursing intervention.After 3 weeks of intervention,the cardiac function,compliance behavior and adverse cardiac events were compared between the two groups.Results The left ventricular ejection fraction(LVEF),cardiac troponin(CTNI)and brain natriuretic peptide(BNP)were(52.18±6.24)%,(10.34±3.21)ng/l and(50.18±6.29)pg/ml in the observation group,the above indicators were(49.15±6.49)%,(15.83±4.42)ng/l,(57.41±6.83)pg/ml in the control group(P<0.05),and the incidence of adverse cardiac events was 8.33%in the observation group and 21.67%in the control group,the scores of compliance behavior in the observation group(90.31±3.51)were significantly higher than those in the control group(73.72±3.77)(P<0.05),the SF-36 score of observation group was higher than that of control group(P<0.05).Conclusion In order to reduce the risk of adverse cardiac events and improve the cardiac function,the intervention of patients'compliance behavior can be improved,it is helpful to improve the quality of life after operation and has important research value.

关 键 词：心肌梗死 经皮冠状动脉介入治疗 护理干预 互动达标模式 心脏不良事件 遵医行为 

分 类 号：R473.5[医药卫生—护理学]