基于ASK模型的质量改进对急性心肌梗死患者生活质量和情绪的影响  

Effect of quality improvement based on the ASK model on quality of life and emotion in patients with acute myocardial infarction

作　　者：钱洁 陶晶晶 王菲 王蓓 马蕾[1] QIAN Jie;TAO Jing-jing;WANG Fei;WANG Bei;MA Lei(Emergency Department,Liyang People's Hospital,Liyang,Jiangsu,213300,China)

机构地区：[1]溧阳市人民医院急诊科,江苏溧阳213300

出　　处：《心血管康复医学杂志》2025年第1期76-81,共6页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:探究基于ASK模型的质量改进对急性心肌梗死(AMI)患者生活质量和情绪的影响。方法:纳入2020年10月-2022年10月溧阳市人民医院收治的220例AMI患者,采用随机数表法均分为对照组(常规护理)和干预组(常规护理+基于ASK模型的质量改进干预)。两组均进行2个月的干预,比较两组患者9项患者健康问卷(PHQ-9)、贝克焦虑量表(BAI)和生活质量综合评定问卷(GQOLI-74)评分,以及心功能和护理满意度。结果:干预2个月后,与对照组比较,干预组GQOLI-74量表[(372.82±23.07)分比(306.48±15.53)分]评分显著升高,PHQ-9[(9.58±2.41)分比(15.36±3.51)分]和BAI量表[(8.61±0.24)分比(16.81±3.54)分]评分均显著降低,N末端B型利钠肽原(NT-proBNP)[(5.03±1.15)pg/ml比(13.11±1.22)pg/ml]、心肌肌钙蛋白I(cTnI)[(2.90±0.51)pg/ml比(4.76±1.32)pg/ml]和肌酐激酶同工酶(CK-MB)[(8.70±2.31)ng/ml比(13.63±2.63)ng/ml]水平均显著降低(P均<0.001)。干预组护理总满意度显著高于对照组(94.55%比83.64%,P=0.009)。结论:基于ASK模型的质量改进可以提高AMI患者心功能和生活质量,改善不良情绪,且满意度较高。Objective:To investigate effect of quality improvement based on the Attitude-Skill-Knowledge(ASK)model on quality of life and emotion in patients with acute myocardial infarction(AMI).Methods:This randomized controlled study enrolled 220 AMI patients admitted in Liyang People's Hospital between October 2020 and October 2022.They were divided into control group(n=110,routine nursing)and intervention group(n=110,additional quality improvement intervention based on ASK model).After 2-month intervention,scores of Patient Health Questionaire-9(PHQ-9),Beck Anxiety Inventory(BAI)and General Quality of life Inventory(GQOLI-74),cardiac function and satisfaction for nursing were compared between two groups.Results:After 2-month intervention,compared with patients in control group,those in intervention group had significant higher score of GQOLI-74[(372.82±23.07)points vs.(306.48±15.53)points],significant lower scores of PHQ-9[(9.58±2.41)points vs.(15.36±3.51)points]and BAI[(8.61±0.24)points vs.(16.81±3.54)points],levels of N-terminal pro brain natriuretic peptide(NT-proBNP)[(5.03±1.15)pg/ml vs.(13.11±1.22)pg/ml],cardiac troponin I(cTnI)[(2.90±0.51)pg/ml vs.(4.76±1.32)pg/ml]and creatine kinase isoenzyme MB(CK-MB)[(8.70±2.31)ng/ml vs.(13.63±2.63)ng/ml](P<0.001 all).Total satisfaction for nursing in intervention group was significantly higher than that of control group(94.55%vs.83.64%,P=0.009).Conclusion:Quality improvement based on Attitude-Skill-Knowledge model could improve cardiac function and quality of life as well as negative emotion in AMI patients with high satisfaction.

关 键 词：心肌梗死 护理 生活质量 

分 类 号：R542.22[医药卫生—心血管疾病]