Department of Imaging Nursing, Jiaozhou Central Hospital of Qingdao, Qingdao City 266300, Shandong Province, China.
Department of Geriatrics, The Second Affiliated Hospital of Mudanjiang Medical College, Mudanjiang City 157010, Heilongjiang Province, China.
J Healthc Eng. 2022 Mar 9;2022:7727953. doi: 10.1155/2022/7727953. eCollection 2022.
To explore the effect of integrated nursing care based on the medical alliance model on prevention and treatment of complications and self-efficacy in patients with coronary heart disease (CHD) after PCI.
The data of CHD patients treated in our hospital from January 2019 to January 2021 were analyzed in this retrospective study. One hundred and twenty patients were selected as the research subjects according to the inclusion and exclusion criteria and equally split into the observation group and reference group according to the order of admission. Both groups received routine nursing care, while the observation group was additionally given integrated nursing care based on the medical alliance model to compare the self-efficacy scores, scores of self-management abilities, and incidence of postoperative complications between the two groups before and after nursing. Both groups were nursed for 6 months.
Compared with the reference group, the observation group after nursing achieved a notably higher GSES score (26.10 ± 1.30 vs 22.18 ± 1.30, = 16.516, < 0.001), higher scores of self-management ability ( < 0.001) , and a lower incidence of postoperative complications ( < 0.05).
Integrated nursing care based on the medical alliance model can improve the self-efficacy of CHD patients undergoing PCI, enhance their self-management ability, and reduce the incidence of postoperative complications, which is conducive to improving the prognosis of patients.
探讨基于医联体模式的综合护理对经皮冠状动脉介入治疗（PCI）后冠心病（CHD）患者并发症防治及自我效能的影响。
回顾性分析本院 2019 年 1 月至 2021 年 1 月收治的 CHD 患者资料，根据纳入排除标准选取 120 例患者作为研究对象，按照入院顺序分为观察组和对照组，各 60 例。两组均给予常规护理，观察组在此基础上给予基于医联体模式的综合护理，比较两组护理前后自我效能评分、自我管理能力评分及术后并发症发生率。两组均护理 6 个月。
护理后观察组患者的 GSES 评分（26.10±1.30 比 22.18±1.30， = 16.516， < 0.001）、自我管理能力评分（均 < 0.001）更高，并发症发生率（ < 0.05）更低。
基于医联体模式的综合护理可提高 PCI 术后 CHD 患者的自我效能，增强自我管理能力，降低术后并发症发生率，有利于改善患者预后。
