2.2 methods
The control group was only given evidence-based nursing, specifically as follows: (1) by consulting relevant literature, obtain nursing evidence to summarize and conclude, determine the nursing program. (2) Health education: health knowledge education was carried out, explain nursing contents, and distribute health manual for patients. (3) Psychological intervention: the onset of AMI and the development of the disease is rapid, accompanied by a sense of pain, dying, patients will be lack of confidence in the treatment, prone to fear, and negative psychological. Nursing staff should carry on its psychological counseling to enhance the patient’s confidence, instruct the family to give it more care and promote the patient to actively cooperate with the treatment. (4) Symptom nursing: assess the patient’s pain and fever; appropriate analgesic drug intervention used for patients with intolerable pain; appropriate physical cooling used for patients with persistent high temperature, At the same time, nursing staff explain the causes of pain and fever to the patients to eliminate their concerns, and closely observe the patient’s condition, monitoring their blood pressure, heart rate, temperature. (5) Diet care: instruct patients to eat more vitamin rich, high calorie food, fast stimulating, greasy food, in order to maintain unobstructed stool. (6) Nursing of complications: after PCI, patients are prone to venous thrombosis, so need to rest in bed [8] and provide appropriate anticoagulant drug intervention, and guide family members to massage the patient’s lower limb gastrocnemius muscle, soleus muscle, do passive movement of foot and ankle to reduce venous thrombosis. In addition, after PCI, the patient’s micturition pattern changes and emotional tension, which is easy to cause urinary retention? Nursing staff guide the patient to conduct anal exercise, micturition interrupt training, through acupuncture, hot application of the lower abdomen, listening to the sound of running water, flushing perineum and other methods to promote the patient’s micturition.
The study group added green model on the basis of the control group, namely green model combined with evidence-based nursing. Specifically, (1) predisposition factors: To understand patients’ previous drug use and health status, to assess patients’ perioperative health education needs, as well as postoperative cognitive needs, pain needs, psychological needs through interviews with patients and field investigations. On the basis of these predisposition factors and combining with evidence-based nursing, a more suitable nursing plan is developed. (2) Enabling factor: Many aspects such as the health education, nursing knowledge training, health behavior intervention and nursing intervention were implemented. For example, patients with obvious postoperative pain, according to the patients’ self-management awareness and knowledge of related pain, to assess the postoperative pain of patients using cold compress method, music method, and self-suggestion method when necessary to give analgesic drug intervention to help patients relieve pain. (3) strengthening factors: for the patients who need to strengthen the postoperative self-training, to strengthen the patients’ self-health assessment, or to promote the improvement of their knowledge and practice. The patient’s family members are encouraged to supervise the patient’s diet and exercise plan. At the same time, patients are also encouraged to pour out their inner anxiety and worry to their families. A group of patients was established in the research group, encourage patients to share their experience and skills, so that other patients can get as much social support as possible.