Abstract
Aim: To explore the effect of green model combined with
evidence-based nursing on the rehabilitation quality of patients with
myocardial infarction after PCI.
Methods: From June 2018 to June 2019, 100 AMI patients who
underwent PCI Treatment in our hospital were selected as the study
subjects. According to the random number method, 100 patients were
divided into study group and control group, 50 patients in each group.
The control group was treated with evidence-based nursing; The research
group adopted green model combined with evidence-based nursing. The
scores of anxiety and depression (had), self-management behavior after
intervention, cardiac function index at 30 days after operation, cardiac
rehabilitation quality at 6 months after operation, incidence and
satisfaction of adverse cardiovascular events (MACE) within 6 months
after operation were compared between the two groups.
Results: The had score of the study group was lower than that
of the control group (P < 0.001); The incidence of MACE in the study
group within 6 months was 6.00%, which was significantly lower than
that in the control group (P<0.05); The satisfaction rate of
patients in the study group was higher than that in the control group
(P<0.05).
Conclusion: Green model combined with evidence-based nursing
improves the quality of rehabilitation of AMI patients after PCI
Keywords: Green model; Evidence-based nursing; Acute myocardial
infarction; Percutaneous coronary intervention
Introduction
Acute myocardial infarction (AMI) refers to the dramatic reduction or
interruption of coronary blood supply due to various causes, and the
death of myocardial cells due to prolonged myocardial ischemia and
hypoxia [1]. Currently, percutaneous coronary intervention (PCI) is
commonly used in clinical treatment, which can dilate coronary arteries
and improve myocardial ischemia [2-4]. However, due to the rapid
onset of AMI, PCI cannot eliminate the risk factors for cardiovascular
events, thus affecting the quality of cardiac rehabilitation. In
addition, the symptoms of the disease are accompanied by pain, fever and
a sense of dying, and the patients are prone to fear, negativity and
other adverse psychological conditions [5-6]. Therefore, the
establishment of accurate and effective, scientific and efficient
nursing measures is crucial to the quality of recovery of AMI patients
after PCI treatment. Evidence-based nursing is a nursing model developed
by scientific evidence, which has achieved certain results in all
departments of the hospital. However, there are still deficiencies in
the nursing care of AMI patients undergoing PCI, such as the lack of a
framework model for diagnosis and evaluation of patients, which may
easily lead to the omission of some factors. Green’s model is a kind of
model that makes use of the organizational framework of various behavior
change theories to formulate behavior intervention strategies. However,
there are few reports on its application in the nursing of AMI patients
undergoing PCI. Therefore, the purpose of this study is to explore the
effect of green model combined with evidence-based nursing on the
postoperative rehabilitation quality of AMI patients after PCI, so as to
provide references for future research.
Materials and Methods