Application of Holistic Nursing Model Based on Delphi in Patients with AMI
10.12259/j.issn.2095-610X.S20250521
- VernacularTitle:基于Delphi建立整体护理模式在AMI患者中的应用
- Author:
Yiming TANG
1
;
Qing FENG
;
Yu CHEN
;
Jie YU
;
Yiming LU
;
Dan WANG
Author Information
1. 上海交通大学医学院附属瑞金医院急诊医学科,上海 201801
- Keywords:
Delphi method;
Holistic nursing model;
Acute myocardial infarction
- From:
Journal of Kunming Medical University
2025;46(5):170-176
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application value of a holistic nursing model based on the Delphi method in patients with acute myocardial infarction(AMI).Methods A total of 110 AMI patients treated at Diqing Shangri-La People's Hospital in Yunnan Province from January 2019 to January 2020 were enrolled and divided into a control group and an observation group,with 55 patients in each,based on their admission order.The control group received routine nursing care,while the observation group received holistic nursing model intervention based on Delphi in addition to the routine nursing care.After 6 months of nursing,the left ventricular end-diastolic volume(LVEDV),left ventricular end-systolic volume(LVESV),left ventricular ejection fraction(LVEF),general self-efficacy scale(GSES)score,complications,and changes in nursing satisfaction were compared and analyzed between the two groups.Results(1)After nursing,the LVEF significantly increased and the LVEDV and LVESV significantly decreased in both groups;the increase in LVEF was more significant,and the decrease in LVEDV and LVESV was more pronounced in the observation group(P<0.05);(2)The GSES scores of patients in both groups improved compared to before nursing,with a more significant improvement in the observation group(P<0.05);(3)The incidence of adverse events during hospitalization was lower in the observation group than in the control group(P<0.05);(4)The satisfaction rate was higher in the observation group than in the control group after nursing(P<0.05).Conclusion The application of a holistic nursing model based on Delphi in AMI patients can effectively improve cardiac function and self-management efficacy,reduce the incidence of complications,and enhance nursing satisfaction,demonstrating high feasibility.
