[Insert Figure1]
Discussion and Conclusion
With the improvement of people’s living standard, the prevalence of AMI
is on the rise, the age of the patients is getting younger and younger,
and the complications are more frequent, which has become one of the
major diseases threatening human health [11-12]. Therefore, it is
very important to implement effective treatment and nursing. Green mode
is developed in recent years a health education mode, is based on the
multidisciplinary, comprehensive, systematic and effective means of
health education, on the basis of the emphasis on the importance of
knowledge at the same time, pay more attention to faith behavior change
dynamically, thus to provide clinical health education, management,
scientific research system, continuous and comprehensive guide.
Green’s model firstly starts from the patient’s propensity to fully
understand the patient’s previous bad behavior, previous drug use,
health status, psychological status, etc., so as to assess the patient’s
perioperative health education needs, postoperative cognitive needs,
pain needs, psychological needs and other nursing needs. On the basis of
these predisposition factors, the nursing plan was developed in
combination with previous evidence-based nursing problems and the health
education, nursing knowledge training, health behavior intervention,
nursing management intervention and many other aspects of nursing
implementation. Studies have reported that most AMI patients have fear
and tension, among which 94.0% have anxiety and 88.8% have depression
[13]. Anxiety and depression stimulate the excitatory function of
the sympathetic nerves, increase the heart rate and the oxygen
consumption of the heart, and thus lead to cardiac dysfunction [14].
In this study, green model was applied to AMI patients treated with PCI,
and the results showed that the anxiety and depression score of the
study group was significantly lower than that of the control group, and
the cardiac function index was better than that of the control group.
Focusing on the early evaluation of patients, understanding of the
patient’s health status and needs, the implementation of related care,
can more thoroughly relieve the negative emotions of patients and
indirectly reduce the adverse emotions of sympathetic nerve stimulation.
Studies have shown that patients’ self-management level is positively
correlated with their quality of life [15]. This study also found
that the symptom management, first aid management, bad habits
management, emotion management, disease knowledge management, disease
knowledge management, life management, treatment compliance management
and total score of the self-management behavior after intervention in
the study group were all higher than the control group, and the recovery
quality was higher than the control group. The core of health education
is the change of patients’ behavior [16-17]. The systematic
self-management education of green mode can better and more accurately
locate the promoting factors to improve patients’ self-management
behavior, so that patients can understand the errors in disease
management, promote patients to actively participate in treatment, and
correct the errors in self-management. Through health education,
patients are provided with certain knowledge reserve, which is conducive
to the transformation of patients’ behaviors, and reduces the impact of
diseases on patients’ physiology, psychology and society, ultimately
improve the quality of patients’ generation [18-19]. The systematic
strengthening factor of green’s model is to enhance the postoperative
self-training and self-health assessment of AMI patients and promote
their knowledge, faith and behavior. It also encourages family members
to supervise patients’ diet and exercise plan, and encourages family
members to participate in the communication with the cooperation with
doctors. With the help of the network platform, the communication
between doctors, patients and patients can be promoted [20], so that
the fatigue of long-term disease management of patients can be released,
which is conducive to the recovery of the disease. The results of this
study found that the incidence of MACE after PCI in AMI patients with
green’s model was significantly lower than that in the control group,
and their satisfaction was higher than that in the control group. It
indicates that strengthening the level of postoperative self-management
can reduce the incidence of MACE and provide patients with satisfaction.
In summary, green model combined with evidence-based nursing has a
greater impact on the postoperative rehabilitation quality of AMI
patients after PCI, which can alleviate the negative psychology of
patients, improve the level of self-management of patients, promote the
quality of life of patients, reduce the incidence of MACE after surgery,
and improve the satisfaction of patients. However, due to the
limitations of the study conditions and time, the short-term effect of
green mode system in self-management of AMI patients after PCI can only
be confirmed, but its long-term impact has not been evaluated, which
needs to be further confirmed by longer time observation and larger
sample size.