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目的探讨出院计划在青年急性心肌梗死(AMI)患者中应用的效果。方法将120例青年AMI患者,采用随机数字表法分为对照组和观察组各60例。对照组给予心内科常规护理,定期随访;观察组在此基础上实施出院计划干预,时间为12个月。比较两组患者的自我管理行为得分、一般指标、生活质量评分及急性心脏事件发生率。结果两组患者的自我管理行为得分、一般指标比较,观察组优于对照组,差异有统计学意义(P<0.05)。两组患者的MIDAS总分及各维度得分比较,观察组低于对照组,差异有统计学意义(P<0.05)。急性心脏事件发生率的比较,观察组为3.33%,对照组为15.25%,差异有统计学意义(χ~2=3.885、5.039,P<0.05)。结论对青年AMI患者实施出院计划,能够提高患者的自我管理行为,积极控制高危因素,提高生活质量,减少急性心脏事件的发生。
Objective To investigate the effect of discharge planning in young patients with acute myocardial infarction (AMI). Methods A total of 120 young patients with AMI were divided into control group and observation group by random number table. The control group was given routine care of cardiology, regular follow-up; on the basis of this, the observation group implemented the discharge plan intervention for a period of 12 months. Self-management behavior scores, general indicators, quality of life scores and incidence of acute cardiac events were compared between the two groups. Results The score of self-management behavior between the two groups of patients was significantly higher than that of the control group (P <0.05). The two groups of patients with MIDAS scores and scores of all dimensions, the observation group was lower than the control group, the difference was statistically significant (P <0.05). The incidences of acute cardiac events were 3.33% in the observation group and 15.25% in the control group, with significant differences (χ ~ 2 = 3.885, 5.039, P <0.05). Conclusion The implementation of discharge plan for young patients with AMI can improve patients’ self-management behavior, actively control risk factors, improve quality of life and reduce the incidence of acute cardiac events.