协同护理模式对急性心梗经皮冠状动脉介入术患者自我护理能力的干预.docVIP

协同护理模式对急性心梗经皮冠状动脉介入术患者自我护理能力的干预 郎巍 高丽红 沈阳医学院护理学院 中国医科大学附属医院护理部 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的:分析协同护理模式对急性心梗经皮冠状动脉介入术 (percutaneouscoronary intervention, PCI) 患者自我护理能力的干预效果。方法:选择急性心肌梗死PCI术后患者100例, 随机分为观察组与对照组, 每组各50例。对照组患者实施常规护理, 观察组患者采用协同护理模式, 共计干预12周。比较两组患者自我护理能力、左心室射血分数 (LVEF) 和N-末端B型利钠肽原 (NT-proBNP) 的变化。结果:两组患者出院后12周, 观察组自我护理能力实施量表的得分低于对照组 (t=11.870, P=0.000) , 两组患者12周后, 观察组的LVEF (%) 水平高于对照组 (t=6.321, P=0.000) , NT-proBNP水平低于对照组 (t=13.895, P=0.000) 。结论:协同护理模式能够提高急性心梗PCI患者自我护理能力, 有助于患者康复。 关键词： 协同护理; 急性心梗; 自我护理; 干预效果; 收稿日期：2017-08-10 Intervention effects of collaborative care model on self-care agency of patients with acute myocardial infarction after PCI LANG Wei GAO Lihong Nursing Department of Shenyang Medical College; Department of Nursing Administration of the First Affiliated Hospital of China Medical University; Abstract： Objective: To investigate the intervention effects of collaborative care model on self-care agency of patients with acute myocardial infarction after percutaneous coronary intervention ( PCI) . Methods: 100 cases of patients with acute myocardial infarction after PCI were randomly divided into control and experimental group, with 50 cases in each group. The patients in control group received routine nursing care, while cases in experimental group were based on the use of collaborative care for nursing intervention for 12 weeks. The patients self-care agency, LVEF and NT-proBNP in each group were evaluated. Results: 12 weeks after discharge, the patients self-care agency and NT-proBNP in experimental group were significantly lower than those in control group ( t = 11. 870, P = 0. 000; t = 13.895, P = 0. 000) , and LVEF in experimental group was significantly higher than that in control group ( t = 6. 321, P = 0. 000) . Conclusion: Collaborative care model can enhance self-care agency of patients with acute myocardial infarction after PCI, which is necessary for recovery of patie