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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.