基于链式管理模式的健康教育在青年心肌梗死患者PCI术后康复中的应用  

Application of health education based on chain management model in the rehabilitation of young patients with myocardial infarction after PCI

作　　者：王珂 Wang Ke(Department of Cardiovascular Medicine,the First People's Hospital of Xuzhou,Xuzhou 221000,China)

机构地区：[1]徐州市第一人民医院心血管内科,徐州221000

出　　处：《国际护理学杂志》2025年第4期714-719,共6页international journal of nursing

摘　　要：目的探究基于链式管理模式的健康教育在青年心肌梗死患者冠状动脉介入(PCI)术后康复中的应用效果。方法将徐州市第一人民医院2023年1~11月收治的98例心肌梗死且行PCI手术的青年患者作为研究对象。将2023年1~5月行常规健康教育的心肌梗死且行PCI手术的51例青年患者作为常规组,2023年6~11月行基于链式管理模式健康教育的心肌梗死且行PCI手术的47例青年患者作为管理组。比较两组患者干预前后心功能、健康信念、自我管理行为、生活质量以及术后心血管不良事件。结果干预前,两组患者左室射血分数(LVEF)、左室舒张末期内径(LVEDD)、左室收缩末期内径(LVESD)比较,差异无统计学意义(P>0.05),干预后,两组患者LVEDD、LVESD均低于干预前,LVEF高于干预前,且管理组干预后LVEDD、LVESD均低于常规组,LVEF则高于常规组(P<0.05);干预前,两组患者健康信念调查问卷、冠心病自我管理行为量表(CSMS)以及西雅图心绞痛量表(SAQ)各维度得分相近(P>0.05),干预后,两组患者健康信念调查问卷、CSMS量表以及SAQ量表各维度得分均有所升高,且管理组高于常规组(P<0.05);管理组心血管不良事件总发生率为4.26%,低于常规组的15.79%,差异有统计学意义(P<0.05)。结论基于链式管理模式的健康教育能够促使心肌梗死行PCI手术的青年患者树立健康信念,提高自我管理行为,改善术后康复效果以及生活质量,降低术后心血管不良事件发生率。Objective To explore the application effect of health education based on chain management model in the rehabilitation of young patients with myocardial infarction after percutaneous coronary intervention(PCI).Methods A total of 98 young patients with myocardial infarction who underwent PCI surgery in the First People's Hospital of Xuzhou from January to November 2023 were selected as the study objects.Fifty-one young patients with myocardial infarction who underwent routine health education and PCI surgery from January to May 2023 were selected as the routine group,while forty-seven young patients with myocardial infarction who underwent health education based on chain management mode and PCI surgery from June to November 2023 were selected as the management group.Cardiac function,health beliefs,self-management behaviors,quality of life and postoperative adverse cardiovascular events were compared between the two groups before and after intervention.Results Before intervention,there were no significant differences in left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD)and left ventricular end-systolic diameter(LVESD)between the two groups(P>0.05).After intervention,LVEDD and LVESD in both groups were lower than before intervention,and LVEF was higher than before intervention(P<0.05).After intervention,LVEDD and LVESD in the management group were lower than those in the routine group,and LVEF was higher than that in the routine group(P<0.05).Before intervention,the scores of each dimension of the Health Belief Questionnaire,Coronary heart Disease Self-Management Behavior Scale(CSMS)and Seattle Angina Questionnaire(SAQ)of patients in the two groups were similar(P<0.05).After intervention,the scores of each dimension of Health Belief Questionnaire and CSMS scale and score of SAQ scale were increased in the two groups,and the above scores in the management group were higher than those in the routine group(P<0.05).The total incidence rate of adverse cardiovascular events in the manag

关 键 词：链式管理 健康教育 心肌梗死 冠状动脉介入术 

分 类 号：R473.5[医药卫生—护理学]