摘要
目的探讨Roy适应模式在急性ST段抬高型心肌梗死(STEMI)患者介入治疗后延续性护理中的应用效果。方法选择2020年3月至2022年2月在河南省胸科医院接受急诊经皮冠状动脉介入治疗的120例STEMI患者为研究对象,按照随机数字表法将患者分为观察组和对照组,每组60例。对照组患者出院后采用常规延续护理干预,观察组患者给予基于Roy适应模式的延续性护理。分别于干预前、干预1 a时,应用创伤后成长评定量表(PTGI)评估2组患者的创伤后成长水平,Morisky服药依从性问卷(MAQ)评估2组患者的抗血小板、抗凝药物服用依从性,中国心血管病人生活质量评定问卷(CQQC)评估2组患者的生活质量;2组患者随访1 a,统计1 a内发生的主要心脏不良事件(MACE)。结果观察组药物服用依从性强患者占比显著高于对照组(χ^(2)=9.969,P<0.05)。干预前,2组患者的PTGI、CQQC评分比较差异无统计学意义(P>0.05)。干预1 a时,2组患者的PTGI、CQQC评分显著高于干预前,且观察组患者的PTGI、CQQC评分显著高于对照组(P<0.05)。对照组和观察组患者的MACE总发生率分别为23.33%(14/60)、8.33%(5/60),观察组患者的MACE总发生率显著低于对照组(P<0.05)。结论Roy适应模式用于STEMI介入治疗后的延续护理中能显著提高患者创伤后成长水平及二级预防药物服用依从性,减少MACE发生,提高生活质量。
Objective To explore the application effect of the Roy adaptation model in continuing care for patients with acute-ST segment elevation myocardial infarction(STEMI)after interventional treatment.Methods A total of 120 STEMI patients who received emergency percutaneous coronary intervention at Henan Chest Hospital from March 2020 to February 2022 were selected as the research subjects.Patients were randomly divided into the observation group and the control group by using a random number table method,with 60 patients in each group.After discharge,patients in the control group received routine continuing care intervention,while patients in the observation group received continuing care based on Roy′s adaptation model.Before and at 1 year of intervention,the posttraumatic growth level of patients in the two groups was evaluated by using the posttraumatic growth inventory(PTGI),the adherence to antiplatelet and anticoagulant medication of patients in the two groups was evaluated with the medication adherence questionnaire(MAQ),and the quality of life of patients in the two groups was evaluated with the China questionnaire of quality of life in patients with cardiovascular diseases(CQQC).Patients in the two groups were followed up for 1 year.The major adverse cardiac events(MACE)that occurred within 1 year were recorded.Results The proportion of patients with strong adherence in the observation group was significantly higher than that in the control group(χ^(2)=9.969,P<0.05).Before the intervention,there was no significant difference in the PTGI and CQQC scores of patients between the observation group and the control group(P>0.05).At 1 year of intervention,the PTGI and CQQC scores of patients in both groups were significantly higher than those before intervention,and the PTGI and CQQC scores of patients in the observation group were significantly higher than those in the control group(P<0.05).The total incidence of MACE in the control group and the observation group was 23.33%(14/60)and 8.33%(5/60),respectively.Th
作者
秦小金
刘晶涛
QIN Xiaojin;LIU Jingtao(Interventional Operation Room,Henan Provincial Chest Hospital/Chest Hospital of Zhengzhou University,Zhengzhou 450000,Henan Province,China)
出处
《新乡医学院学报》
CAS
2024年第7期684-688,共5页
Journal of Xinxiang Medical University
基金
河南省医学联合共建项目(编号:LHGJ20210229)。
关键词
急性ST段抬高型心肌梗死
ROY适应模式
延续护理
acute ST-segment elevation myocardial infarction
Roy adaptation model
continuing care
