首页|基于网络Cox健康行为互动在急性心肌梗死介入术后患者中的应用

基于网络Cox健康行为互动在急性心肌梗死介入术后患者中的应用

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目的:分析基于网络Cox健康行为互动在急性心肌梗死介入术后患者中的应用效果.方法:选取2019年1月至2022年1月我院96例急性心肌梗死介入术后患者为研究对象,按随机数字表法分为对照组和观察组,各48例.对照组采用常规护理干预,观察组采用基于网络Cox健康行为互动的护理干预.比较两组干预前24 h(T0)和干预后24 h(T1)内的健康行为能力自评量表(SRAHP)评分、知信行评分、心功能以及两组干预1年内不良反应发生情况.结果:两组T0时刻的各项SRAHP评分、知信行评分、心功能比较差异无统计学意义(P>0.05).观察组T1时刻的各项SRAHP评分、知信行评分、左室射血分数、6 min步行距离均优于对照组(P<0.05),NT-proBNP水平低于对照组(P<0.05).观察组患者术后1年并发症发生率、心绞痛再发率、急性心肌梗死再发率均低于对照组(P<0.05)o结论:基于网络Cox健康行为互动的护理干预能够改善急性心肌梗死介入术后患者的健康行为能力、知信行情况和心功能,降低心绞痛及急性心肌梗死的再发率.
Application of Cox health behavior interaction based on the network in patients with acute myocardial infarction after interventional surgery
Objective:To analyze the application effect of Cox health behavior interaction based on the network in patients after acute myocardial infarction intervention surgery.Methods:96 patients with acute myocardial infarction who underwent interventional surgery in our hospital from January 2019 to January 2022 were selected as the study subjects.They were randomly divided into a control group and an observation group using a random number table method with 48 cases in each group.The control group received routine nursing intervention,while the observation group received nursing intervention using network based Cox health behavior interaction.The scores of self-rated abilities for health practices scale(SRAHP),scores of knowledge-attitude-practice(KAP),and cardiac function within 24 hours before intervention(T0)and 24 hours after intervention(T1)were compared between the two groups as well as the incidence of adverse reactions within one year of intervention.Results:There were no statistically significant differences in the SRAHP scores,KAP scores,and cardiac function between the two groups at T0(P>0.05).The SRAHP scores,KAP scores,left ventricular ejection fraction,and 6-minute walking distance of the observation group at T1 were all better than those of the control group(P<0.05),and the NT-proBNP level was lower than that of the control group(P<0.05).The incidence of postoperative complications,recurrence of angina pectoris,and recurrence of acute myocardial infarction in the observation group were lower than those in the control group one year after interventional surgery(P<0.05).Conclusion:The nursing intervention of Cox health behavior interaction based on the network can improve the health behavior ability,KAP status,and heart function in patients with acute myocardial infarction after interventional surgery,and reduce the recurrence rate of angina and acute myocardial infarction.

acute myocardial infarctioninterventional surgerynetworkCox health behavior interaction

徐曼丽、徐萌莉、周晓静、王俊霞

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郑州市第九人民医院CCU,河南郑州 450000

急性心肌梗死 介入手术 网络 Cox健康行为互动

河南省医学教育研究项目

Wjlx2022142

2024

现代临床医学
成都市医学信息所,成都医学会

现代临床医学

影响因子:0.895
ISSN:1673-1557
年,卷(期):2024.50(3)
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