Construction and application of a health intervention plan for patients with atrial fibrillation after transcatheter radiofrequency ablation based on Green's model
Objective To construct a health intervention program for patients with atrial fibrillation(AF)after radiofrequency catheter ablation(RFCA)based on Green's model,and evaluate its clinical application effect.Methods Seventy AF patients treated with RFCA in our hospital from October 2021 to April 2022 were selected.The patients were divided into a study group and a control group using random number table method,35 in each group.The control group received routine health interventions,while the study group implemented the health intervention plan based on the Green model.Changes of knowledge,attitude and behavior dimensions before and after 3 and 6 months of intervention were compared between the two groups.Changes of left atrial diameter(LAD),left ventricular end diastolic diameter(LVEDd)and left ventricular ejection fraction(LVEF)before and after 6 months of intervention were compared between the two groups.The incidence of postoperative complications and quality of life were also compared between the two groups.Results Compared with the control group,and the scores of knowledge dimension,attitude dimension and behavior dimension were increased significantly in the study group(P<0.05).In terms of cardiac function,the levels of LAD and LVEDd in the study group were significantly lower than those in the control group,while LVEF level was significantly increased after 6 months of intervention(P<0.05).After 6 months of intervention,the quality of life in the study group was significantly improved,and the incidence of postoperative complications was lower than that in the control group(P<0.05).Conclusions The health intervention plan constructed based on the Green model for AF patients after RFCA has good feasibility in terms of project content.It can greatly meet the postoperative nursing needs of patients,effectively improve their knowledge,attitude and behavior and quality of life in preventing AF.It also reduces the incidence of complications.Thus,it is worthy of clinical promotion.
Atrial fibrillationRadio frequency catheter ablationPRECEDE-PROCEED modelHealth interventionAppli-cation