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.