目的 分析住院天数、入院严重程度、患者合并症、急诊科就诊次数风险模型(Length of Stay,Acuity of Admission,Comorbidity of Patient,Emergency Department Visits,LACE)在中青年急性心肌梗死冠状动脉介入术(Percutaneous Coronary Intervention,PCI)后康复进程中的效果.方法 方便选取2022年3月—2023年3月徐州市贾汪区人民医院收治的102例中青年急性心肌梗死行冠状动脉介入术(PCI)患者作为研究对象,根据随机数表法随机分为两组,各51例.对照组实施常规护理,研究组在常规护理基础上实施LACE风险模型护理.比较两组患者干预前、干预 3 个月后的生活质量简表(World Health Organization Quality of Life-100,WHOQOL-100)评分、汉密尔顿焦虑量表(Hamilton Anxiety Rating Scale,HAMA)及汉密尔顿抑郁量表(Hamil-ton Depression Rating Scale,HAMD)评分,对比两组护理满意度.结果 护理干预前,两组生活质量评分及HAMA、HAMD评分对比,差异无统计学意义(P均＞0.05);干预后,研究组生活质量评分高于对照组,HAMA、HAMD评分低于对照组,差异有统计学意义(P均＜0.05);研究组护理总满意度(98.04%)高于对照组(84.31%),差异有统计学意义(χ2=5.971,P=0.036).结论 LACE风险模型护理能够提高急性心肌梗死患者的生活质量及护理满意率,并有助于改善患者负性情绪.
Application Effect of LACE Risk Model Intervention in Rehabilitation Nursing of Young and Middle-aged Patients with Acute Myocardial In-farction after PCI
Objective To analyze the effect of length of stay,acuity of admission,comorbidity of patient,emergency de-partment visits(LACE)on the rehabilitation process of acute myocardial infarction in young and middle-aged adults after percutaneous coronary intervention(PCI).Methods A total of 102 cases of young and middle-aged patients with acute myocardial infarction who underwent percutaneous coronary intervention(PCI)admitted to Jiawang District People's Hospital of Xuzhou City from March 2022 to March 2023 were conveniently selected as the study objects and randomly divided into two groups with 51 cases in each group according to random number table method.The control group was given routine nursing,while the study group was given LACE risk model nursing based on routine nursing.The World Health Organization Quality of life-100(WHOQOL-100)scores,Hamilton Anxiety Rating Scale(HAMA)and Hamilton Depression Rating Scale(HAMD)scores of the two groups were compared before intervention and 3 months after intervention.The nursing satisfaction of the two groups was compared.Results Before nursing interven-tion,the quality of life scores,HAMA and HAMD scores of the two groups were compared,and the differences were not statistically significant(all P＞0.05).After intervention,the quality of life scores of the study group were higher than those of the control group,the HAMA and HAMD scores of the study group were lower than those of the control group,and the differences were statistically significant(all P＜0.05).The total nursing satisfaction of the study group(98.04%)was higher than that of the control group(84.31%),and the difference was statistically significant(χ2=5.971,P=0.036).Conclusion LACE risk model nursing can enhance the quality of life and nursing satisfaction rate of pa-tients with acute myocardial infarction,and help improve patients'negative emotions.
LACE risk modelYoung and middle-aged myocardial infarctionQuality of lifeNursing satisfactionNegative emotionsPostoperative rehabilitation
万方数据
维普
