“二级预防护师”循证模式在慢性病防治的探索研究：以急性心肌梗死为例
【摘要】目的：建立适宜于急性心肌梗死患者的二级预防护理干预模式并验证二级预防护理措施疗在急性心肌梗死患者中的实施效果。方法：从荔湾区芳村中医医院心内科进行治的心肌梗死患者作为受试者招募对象，选择70例压疮患者作为实验对象，将所有纳入对象，采用随机数字表法，按照入院顺序随机分为干预组和对照组，每组35例其中干预组给予护理人员参与的二级预防策略措施，对照组给予传统干预措施。，通过试验后对两组疗效性指标，比如：血压血脂状况吸烟状况对照检测，进行试验研究。结果：通过实验干预组和对照组间的数据进行比较，发现经过两组对比试验之后，干预组的患者的吸烟状况；高密度脂蛋白(mmol/L)、低密度脂蛋白(mmol/L)和甘油三酯(mmol/L)；收缩压；舒张压等各项医学病情检测指标与试验对照组相比有明显的下降趋势，而且患者吸烟量较少，参加体力活动次数总体多一半，跟对照组相比，干预组治疗后复发率减轻，阿司匹林，β-肾上腺素能阻断剂、血管紧张素抑制剂目前使用状况较少两组试验对比数据的差异值 p<0.05，符合统计学数据要求 。结论：对心肌梗死患者自急诊-入院-出院宣教、监控、管理、随访流程进行综合化的循证护理模式设计实施有利于促进急性心肌梗死患者的康复，降低可能危险因素的发生，从而有效降低复发，提高患者的生活质量，降低医疗费用，具有很好的社会经济效益。
关键词：急性心肌梗死 二级预防护理 护理模式对比 实验意义
[Abstract] Objective: to establish a two level prevention nursing intervention model for patients with acute myocardial infarction (AMI), and to verify the effect of two grade preventive nursing measures in patients with acute myocardial infarction. Methods: myocardial infarction patients as subjects were recruited from the Department of Cardiology of Liwan District Fangcun Hospital of traditional Chinese medicine object, 70 cases of pressure sore patients as the experimental object, all included in the object, using a random number table, were randomly divided into intervention group and control group, each group of 35 cases in the intervention group was given two grade prevention strategy the measures of nursing staff, the control group was given conventional intervention measures. After the test, the two groups of therapeutic indicators, such as blood pressure, blood lipid status, smoking status, control test, were studied. Results: through the comparison of experimental data between the intervention group and the control group, found that after two groups of contrast experiments, the intervention group of patients with smoking status; high density lipoprotein (mmol/L), low density lipoprotein (mmol/L) and triglyceride (mmol/L); systolic blood pressure; diastolic blood pressure and other medical condition and testing index the test compared with the control group significantly decreased, and the patients smoking less number of physical activities in general more than half, compared with the control group, the intervention group after treatment, reduce recurrence rate, aspirin, beta adrenergic blocker and angiotensin inhibitors are currently used in less two sets of experiments data with difference value p<0.05 statistical data requirements. Conclusion: evidence-based nursing model design and implementation is conducive to promoting the rehabilitation of patients with acute myocardial infarction were integrated on myocardial infarction patients from the emergency admission – discharge -, monitoring, management and follow-up process, may reduce the occurrence of the risk factors, so as to effectively reduce recurrence, improve the quality of life of patients, reduce medical costs, with a good social and economic benefits.
Key words: acute myocardial infarction; two stage prevention nursing; nursi
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