Effect of quality improvement based on the ASK model on quality of life and emotion in patients with acute myocardial infarction
10.3969/j.issn.1008-0074.2025.01.16
- VernacularTitle:基于ASK模型的质量改进对急性心肌梗死患者生活质量和情绪的影响
- Author:
Jie QIAN
1
;
Jing-jing TAO
1
;
Fei WANG
1
;
Bei WANG
1
;
Lei MA
1
Author Information
1. 溧阳市人民医院急诊科,江苏溧阳 213300
- Publication Type:Journal Article
- Keywords:
Myocardial infarction;
Nursing care;
Quality of Life
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2025;34(1):76-81
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate effect of quality improvement based on the Attitude-Skill-Knowledge(ASK)model on quality of life and emotion in patients with acute myocardial infarction(AMI).Methods:This random-ized controlled study enrolled 220 AMI patients admitted in Liyang People's Hospital between October 2020 and Oc-tober 2022.They were divided into control group(n=110,routine nursing)and intervention group(n=110,addi-tional quality improvement intervention based on ASK model).After 2-month intervention,scores of Patient Health Questionaire-9(PHQ-9),Beck Anxiety Inventory(BAI)and General Quality of life Inventory(GQOLI-74),cardiac function and satisfaction for nursing were compared between two groups.Results:After 2-month intervention,compared with patients in control group,those in intervention group had significant higher score of GQOLI-74[(372.82±23.07)points vs.(306.48±15.53)points],significant lower scores of PHQ-9[(9.58±2.41)points vs.(15.36±3.51)points]and BAI[(8.61±0.24)points vs.(16.81±3.54)points],levels of N-terminal pro brain natriuretic peptide(NT-proBNP)[(5.03±1.15)pg/ml vs.(13.11±1.22)pg/ml],cardiac troponin I(cTnⅠ)[(2.90±0.51)pg/ml vs.(4.76±1.32)pg/ml]and creatine kinase isoenzyme MB(CK-MB)[(8.70±2.31)ng/ml vs.(13.63±2.63)ng/ml](P＜0.001 all).Total satisfaction for nursing in intervention group was significantly higher than that of control group(94.55％vs.83.64％,P=0.009).Conclusion:Quality improvement based on Attitude-Skill-Knowledge model could improve cardiac function and quality of life as well as negative emotion in AMI patients with high satisfaction.
