Effect of positive reinforcement theory-based nursing in patients with acute myocardial infarction undergone PCI
10.3760/cma.j.cn115682-20220218-00742
- VernacularTitle:基于正强化理论的护理干预在急性心肌梗死PCI术后患者中的应用效果
- Author:
Lihui PEI
1
;
Yanan JIA
;
Yinglan JIA
Author Information
1. 郑州大学第一附属医院急诊内科病区，郑州 450000
- Keywords:
Myocardial infarction;
Percutaneous coronary intervention;
Self-management ability;
Quality of life;
Cardiovascular adverse events
- From:
Chinese Journal of Modern Nursing
2022;28(30):4237-4241
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of positive reinforcement theory-based nursing in patients with acute myocardial infarction undergone percutaneous coronary intervention (PCI) .Methods:Convenience sampling was used to select 107 patients with acute myocardial infarction after PCI in the First Affiliated Hospital of Zhengzhou University from July 2018 to June 2020 as the research object. The patients were divided into the experimental group ( n=54) and the control group ( n=53) by random number table method. The control group was given routine nursing after PCI, while the experimental group was given nursing based on positive reinforcement theory on the basis of the control group. After six months of follow-up, the scores of the Self-management Scale for Patients Undergone Coronary Artery Stent Implantation, the Coronary Revascularization Outcome Questionnaire for Determination of Quality, and the incidence of cardiovascular adverse events were compared between the two groups before and after the intervention. Results:After intervention, The total score and the scores of each dimension of the Self-management Scale for Patients Undergone Coronary Artery Stent Implantation and the scores of each dimension of the Coronary Revascularization Outcome Questionnaire for Determination of Quality of the experimental group were higher than those of the control group, and the differences were statistically significant ( P<0.05) . The incidence of cardiovascular adverse events in the experimental group was lower than that in the control group, and the difference was statistically significant ( P<0.05) . Conclusions:Positive reinforcement theory-based nursing can help improve the self-management ability of patients with acute myocardial infarction undergone PCI, reduce the incidence of adverse cardiovascular events, and improve the quality of life of patients.
