Department of Cardiovascular Medicine II, The Fourth Hospital of Changsha City, No. 70 Lushan South Road, Yuelu District, Changsha City, Hunan Province, China 410006.
Nursing Department, The Fourth Hospital of Changsha City, No. 70 Lushan South Road, Yuelu District, Changsha City, Hunan Province, China 410006.
Comput Math Methods Med. 2022 Aug 24;2022:9489203. doi: 10.1155/2022/9489203. eCollection 2022.
To explore the influence of the communication mode of "Acknowledge, Introduce, Duration, Explanation, and Thanks (AIDET)" on the postoperative recovery and quality of life of patients undergoing percutaneous coronary intervention.
Sixty patients with percutaneous coronary intervention in our hospital from April 2019 to April 2021 were selected. The patients were randomly divided into a control group ( = 30) and research group ( = 30). The control group received integrated medical and nursing rounds, and the research group received integrated medical and nursing rounds combined with AIDET communication mode. The scores of nursing satisfaction, cardiac function, self-nursing ability, short-term prognosis, and quality of life were compared between the two groups.
In the comparison of nursing satisfaction between the two groups, the satisfaction of the research group was low in 1 case, moderate in 6 cases, and high in 27 cases, with a satisfaction rate of 96.67%. In the control group, there were 7 cases with low satisfaction, 10 cases with moderate satisfaction, and 13 cases with high satisfaction, with a satisfaction rate of 76.67%. The nursing satisfaction of the research group was higher than that of the control group, and the difference was statistically significant, and the difference was statistically significant ( < 0.05). After intervention, the cardiac function of the two groups was improved. The LVEF and LVESVI of the research group were higher than those of the control group, while the WMSI of the research group was lower than that of the control group ( < 0.05). In the comparison of self-nursing ability, the self-nursing maintenance, self-nursing management, self-nursing confidence, and total score of self-nursing in the research group were significantly higher than those in the control group, and the difference was statistically significant ( < 0.05). The incidence rates of acute myocardial infarction (AMI), revascularization, arrhythmia, heart failure, cardiogenic shock, and cardiac death in the research group were obviously lower than those in the control group, and the difference was statistically significant ( < 0.05). After intervention, the scores of quality of life of the two groups decreased, and the scores of physiological function, psychological function, social function, and health self-cognition in the research group were lower than those in the control group ( < 0.05).
Medical and nursing integrated ward rounds combined with AIDET communication mode can effectively improve the prognosis of patients undergoing percutaneous coronary intervention to promote the establishment of a harmonious nurse-patient relationship. The patients' self-care ability is able to be effectively enhanced.
探讨“承认、介绍、持续时间、解释和感谢（AIDET）”沟通模式对经皮冠状动脉介入治疗患者术后康复和生活质量的影响。
选取我院 2019 年 4 月至 2021 年 4 月行经皮冠状动脉介入治疗的患者 60 例，随机分为对照组（n=30）和研究组（n=30）。对照组给予综合医疗护理查房，研究组给予综合医疗护理查房联合 AIDET 沟通模式。比较两组护理满意度、心功能、自我护理能力、短期预后及生活质量。
两组护理满意度比较，研究组满意度低 1 例，中 6 例，高 27 例，满意度为 96.67%；对照组满意度低 7 例，中 10 例，高 13 例，满意度为 76.67%。研究组护理满意度高于对照组，差异有统计学意义（<0.05）。干预后两组心功能均改善，研究组 LVEF、LVESVI 高于对照组，WMSI 低于对照组（<0.05）。自我护理能力比较，研究组自我护理维持、自我护理管理、自我护理信心及总分均高于对照组，差异有统计学意义（<0.05）。研究组急性心肌梗死（AMI）、再血管化、心律失常、心力衰竭、心源性休克、心脏性死亡发生率均低于对照组，差异有统计学意义（<0.05）。干预后两组生活质量评分均降低，研究组生理功能、心理功能、社会功能及健康自我认知评分均低于对照组（<0.05）。
医疗护理联合查房联合 AIDET 沟通模式可有效改善经皮冠状动脉介入治疗患者的预后，促进和谐护患关系的建立，能有效提高患者的自我护理能力。
