基于症状动态模型理论的全方位护理模式干预对心肌梗死患者希望水平及不良心血管事件发生率的影响  

Effect of comprehensive nursing intervention based on symptom management theory on hope level and incidence of adverse cardiovascular events in patients with myocardial infarction

作　　者：张蕊 李申 牛玉青 Zhang Rui;Li Shen;Niu Yuqing(Department of Cardiovascular Intensive Care,Nanyang First People's Hospital,Nanyang 473000,China)

机构地区：[1]南阳市第一人民医院心血管重症监护科,南阳473000

出　　处：《国际护理学杂志》2025年第6期994-999,共6页international journal of nursing

基　　金：河南省医学科技攻关联合共建项目(LHGJ20222718)。

摘　　要：目的探讨基于症状动态模型理论(SMT)的全方位护理模式干预对心肌梗死患者希望水平及不良心血管事件发生率的影响。方法选取2022年1月至2023年10月南阳市第一人民医院收治的108例心肌梗死患者,采用随机抽签法分为对照组(54例)及研究组(54例)。对照组采取常规护理,研究组采取基于SMT的全方位护理。比较两组希望水平[Herth希望量表(HHI)评分]及心理弹性[心理弹性量表(CD-RISC)评分]、自我管理行为、生活质量[心肌梗死多维度评估量表(MIDAS)评分]、不良心血管事件发生率。结果干预3个月后,研究组HHI评分高于对照组,差异有统计学意义(P<0.05);干预3个月后,研究组CD-RISC量表中力量、乐观、韧性维度评分高于对照组,差异有统计学意义(P<0.05);干预3个月后,研究组CSMS、MIDAS评分高于对照组,差异有统计学意义(P<0.05);研究组不良心血管事件发生率[11.11%(6/54)]低于对照组的[20.37%(11/54)],但差异无统计学意义(P>0.05)。结论基于SMT的全方位护理模式能提高心肌梗死患者希望水平、自我管理能力,改善患者心理弹性,有助于提高患者生活质量。ObjectiveTo explore the effect of comprehensive nursing intervention based on symptom management theory(SMT)on hope level and incidence of adverse cardiovascular events in patients with myocardial infarction.MethodsA total of 108 patients with myocardial infarction admitted to Nanyang First People's Hospital from January 2022 to October 2023 were selected and divided into control group(54 cases)and study group(54 cases)by random drawing method.The control group received routine nursing,while the study group received comprehensive nursing based on SMT.The Hope Level[Herth Hope Index(HHI)],psychological resilience[Conner-Davidson Resilience Scale(CD-RISC)],self-management behavior,quality of life[Myocardial Infarction Dimensional Assessment Scale(MIDAS)]and the incidence of adverse cardiovascular events were compared between the two groups.ResultsAfter 3 months of intervention,the HHI score of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).After 3 months of intervention,the scores of strength,optimism and resilience in CD-RISC scale in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of adverse cardiovascular events in the study group[11.11%(6/54)]was lower than that in the control group[20.37%(11/54)],but the difference was not statistically significant(P>0.05).ConclusionsThe comprehensive nursing mode based on SMT can improve the hope level and self-management ability of patients with myocardial infarction,improve the psychological resilience of patients,and help to improve the quality of life of patients.

关 键 词：心肌梗死 症状动态模型理论 全方位护理 希望水平 不良心血管事件 

分 类 号：R473.5[医药卫生—护理学]