摘要
目的:探究"互联网+"家属赋能健康管理对急性心肌梗死(AMI)患者护理效果、心功能的影响以及安全性.方法:选择青海大学附属医院2020年1月～2022年1月期间收治的200例AMI患者,按照随机数字表法分为干预组、对照组,每组100例.对照组实施常规护理,干预组患者在常规护理的基础上实施家属赋能健康管理.比较两组出院时、3个月后的左室射血分数(LVEF)、每搏量(SV)、Morisky药物依从性量表(MMAS-8)、一般自我效能感量表(GSES)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分以及主要不良心血管事件(MACE)发生率.结果:出院3个月后,与对照组比较,干预组GSES[(33.35±1.30)分比(37.47±1.33)分]、MMAS-8[(5.60±0.20)分比(6.64±0.40)分]评分、LVEF[(49.06±1.72)％比(54.49±1.91)％]、SV[(32.34±1.31)ml 比(41.74±2.26)ml]均显著提高,SAS[(28.85±2.32)分比(18.93±1.14)分]、SDS[(30.05±1.16)分比(19.30±3.60)分]评分和 MACE 发生率(18.00％比 8.00％)均显著降低(P＜0.05 或＜0.01).结论:"互联网+"家属赋能管理模式可以提升急性心肌梗死患者的自我效能感、服药依从性并改善心功能,同时可以有效减轻患者的负面情绪与MACE发生风险,值得临床推广.
Abstract
Objective:To explore the influence of"Internet+"family empowerment health management on nursing effect and cardiac function and its safety in patients with acute myocardial infarction(AMI).Methods:This ran-domized controlled study enrolled 200 AMI patients treated in Affiliated Hospital of Qinghai University between January 2020 and January 2022.They were divided into control group(n=100,routine nursing care)and interven-tion group(n=100,family empowerment health management based on routine nursing care).Left ventricular ejec-tion fraction(LVEF),stroke volume(SV),scores of Morisky Medication Adherence Scale(MMAS-8),General Self-Efficacy Scale(GSES),Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS),and inci-dence of major adverse cardiovascular events(MACE)were compared between two groups at discharge and 3 months after discharge.Results:Compared with patients in control group 3 months after discharge,those in inter-vention group had significant higher scores of GSES[(33.35±1.30)points vs.(37.47±1.33)points],MMAS-8[(5.60±0.20)points vs.(6.64±0.40)points],LVEF[(49.06±1.72)％vs.(54.49±1.91)％]and SV[(32.34±1.31)ml vs.(41.74±2.26)ml],and significant lower scores of SAS[(28.85±2.32)points vs.(18.93±1.14)points],SDS[(30.05±1.16)points vs.(19.30±3.60)points]and incidence of MACE(18.00％vs.8.00％)(P＜0.05 or＜0.01).Conclusion:The"Internet+"family empowerment management model can improve self-efficacy,medication compliance and cardiac function,and can effectively reduce negative emotions and the risk of MACE in patients with acute myocardial infarction,which is worthy of clinical promotion.
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