基于患者健康参与模型的护理干预在老年急性心肌梗死患者PCI术后心脏康复中的应用效果

doi:10.3969/j.issn.1003-9198.2026.09.019

摘要/Abstract

摘要： 目的探究基于患者健康参与(PHE)模型的护理干预方案对接受经皮冠状动脉介入治疗(PCI)的老年急性心肌梗死(AMI)患者心脏康复的效果。方法选择2024年1—6月在南通市第一人民医院接受PCI的老年AMI患者为研究对象,随机分为对照组40例和干预组40例。对照组接受常规康复护理,干预组在常规护理基础上实施基于PHE模型的心脏康复护理。比较2组患者出院后1、3、6个月时的生活质量评分、焦虑抑郁情况、服药依从性、LVEF以及LDL-C水平的差异。结果最终干预组40例和对照组38例(退出和失访各1例)纳入分析。在干预1个月时,2组患者生活质量评分、焦虑评分、治疗依从性及LDL-C水平差异均具有统计学意义(P<0.05);在干预3、6个月时,干预组生活质量评分、抑郁评分、治疗依从性、LVEF及LDL-C水平均优于对照组,差异具有统计学意义(P<0.05)。结论基于PHE模型的心脏康复护理干预方案能够改善老年AMI患者PCI治疗后的心理状态和服药依从性,提升生活质量。

关键词: 急性心肌梗死, 患者健康参与模型, 护理干预, 心脏康复

Abstract: Objective To explore the effect of nursing interventions based on the Patient Health Engagement (PHE) model on cardiac rehabilitation in elderly patients with acute myocardial infarction (AMI) after percutaneous coronary intervention (PCI). Methods Elderly patients diagnosed with AMI and undergoing PCI in Nantong First People’s Hospital from January to June 2024 were enrolled and randomly divided into a control group and an intervention group with 40 cases in each group. The control group received routine rehabilitation care after PCI, while the intervention group received a cardiac rehabilitation nursing intervention based on the PHE model in addition to routine care. The differences in quality of life, anxiety and depression, medication compliance, left ventricular ejection fraction (LVEF) and low-density lipoprotein cholesterol (LDL-C) levels were compared between the two groups at 1, 3, and 6 months after discharge. Results A total of 40 patients in the intervention group and 38 patients in the control group with one dropout and one lost to follow-up were included in the analysis. At 1 month after the intervention, there were significant differences between the two groups in terms of life quality, anxiety scores, treatment compliance, and LDL-C levels (P<0.05). At 3 and 6 months of follow-up, there were significant differences between the two groups in terms of life quality, depression scores, treatment compliance, LVEF and LDL-C levels (P<0.05). Conclusions The cardiac rehabilitation nursing intervention based on the PHE model can improve the psychological status and medication compliance of elderly AMI patients after PCI, and further enhance their postoperative quality of life.

Key words: acute myocardial infarction, Patient Health Engagement model, nursing intervention, cardiac rehabilitation

中图分类号:

R 542.2

许银银, 王丽华, 陈亮, 葛培培. 基于患者健康参与模型的护理干预在老年急性心肌梗死患者PCI术后心脏康复中的应用效果[J]. 实用老年医学, 2026, 40(9): 962-967.

XU Yinyin, WANG Lihua, CHEN Liang, GE Peipei. Effect of nursing interventions based on the Patient Health Engagement model on the cardiac rehabilitation of elderly patients with acute myocardial infarction after PCI[J]. Practical Geriatrics, 2026, 40(9): 962-967.

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