Abstract
Aim:  To explore the effect of green model combined with evidence-based nursing on the rehabilitation quality of patients with myocardial infarction after PCI.
Methods:  From June 2018 to June 2019, 100 AMI patients who underwent PCI Treatment in our hospital were selected as the study subjects. According to the random number method, 100 patients were divided into study group and control group, 50 patients in each group. The control group was treated with evidence-based nursing; The research group adopted green model combined with evidence-based nursing. The scores of anxiety and depression (had), self-management behavior after intervention, cardiac function index at 30 days after operation, cardiac rehabilitation quality at 6 months after operation, incidence and satisfaction of adverse cardiovascular events (MACE) within 6 months after operation were compared between the two groups.
Results:  The had score of the study group was lower than that of the control group (P < 0.001); The incidence of MACE in the study group within 6 months was 6.00%, which was significantly lower than that in the control group (P<0.05); The satisfaction rate of patients in the study group was higher than that in the control group (P<0.05).
Conclusion:  Green model combined with evidence-based nursing improves the quality of rehabilitation of AMI patients after PCI
Keywords: Green model; Evidence-based nursing; Acute myocardial infarction; Percutaneous coronary intervention
Introduction
Acute myocardial infarction (AMI) refers to the dramatic reduction or interruption of coronary blood supply due to various causes, and the death of myocardial cells due to prolonged myocardial ischemia and hypoxia [1]. Currently, percutaneous coronary intervention (PCI) is commonly used in clinical treatment, which can dilate coronary arteries and improve myocardial ischemia [2-4]. However, due to the rapid onset of AMI, PCI cannot eliminate the risk factors for cardiovascular events, thus affecting the quality of cardiac rehabilitation. In addition, the symptoms of the disease are accompanied by pain, fever and a sense of dying, and the patients are prone to fear, negativity and other adverse psychological conditions [5-6]. Therefore, the establishment of accurate and effective, scientific and efficient nursing measures is crucial to the quality of recovery of AMI patients after PCI treatment. Evidence-based nursing is a nursing model developed by scientific evidence, which has achieved certain results in all departments of the hospital. However, there are still deficiencies in the nursing care of AMI patients undergoing PCI, such as the lack of a framework model for diagnosis and evaluation of patients, which may easily lead to the omission of some factors. Green’s model is a kind of model that makes use of the organizational framework of various behavior change theories to formulate behavior intervention strategies. However, there are few reports on its application in the nursing of AMI patients undergoing PCI. Therefore, the purpose of this study is to explore the effect of green model combined with evidence-based nursing on the postoperative rehabilitation quality of AMI patients after PCI, so as to provide references for future research.
Materials and Methods