Effect of Integrated Nursing Care Based on Medical Alliance Mode on the Prevention and Treatment of Complications and Self-Efficacy of Patients with Coronary Heart Disease after PCI.

Yujie Zhao,Xiaonan Wang,Bhagyaveni M.A

doi:10.1155/2022/7727953

Yujie Zhao, Xiaonan Wang + Show 1 more

Open Access

https://doi.org/10.1155/2022/7727953

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Abstract

Objective To explore the effect of integrated nursing care based on the medical alliance model on prevention and treatment of complications and self-efficacy in patients with coronary heart disease (CHD) after PCI. Methods The data of CHD patients treated in our hospital from January 2019 to January 2021 were analyzed in this retrospective study. One hundred and twenty patients were selected as the research subjects according to the inclusion and exclusion criteria and equally split into the observation group and reference group according to the order of admission. Both groups received routine nursing care, while the observation group was additionally given integrated nursing care based on the medical alliance model to compare the self-efficacy scores, scores of self-management abilities, and incidence of postoperative complications between the two groups before and after nursing. Both groups were nursed for 6 months. Results Compared with the reference group, the observation group after nursing achieved a notably higher GSES score (26.10 ± 1.30 vs 22.18 ± 1.30, t = 16.516, P < 0.001), higher scores of self-management ability (P < 0.001) , and a lower incidence of postoperative complications (P < 0.05). Conclusion Integrated nursing care based on the medical alliance model can improve the self-efficacy of CHD patients undergoing PCI, enhance their self-management ability, and reduce the incidence of postoperative complications, which is conducive to improving the prognosis of patients.

Highlights

Coronary heart disease (CHD), an ischemic heart disease, is caused by coronary atherosclerosis
Shajrawi Abedalmajeed et al have reported that PCI reduces the mortality of patients with acute myocardial infarction from 30.0% to 5.0%, but it cannot completely reverse coronary atherosclerosis, and the surgical operation damages the vascular wall of patients, resulting in various vascular complications after surgery and affecting the prognosis [6]
Research Design. is retrospective study was conducted in our hospital from January 2019 to January 2021, trying to explore the effect of integrated nursing care based on the medical alliance model on the prevention and treatment of complications and self-efficacy in CHD patients after PCI

Summary

Introduction

Coronary heart disease (CHD), an ischemic heart disease, is caused by coronary atherosclerosis. The mortality of CHD patients in urban and rural areas in China showed an increasing trend, with annual deaths of over one million, ranking second in the world [3]. PCI is an important measure to reduce the mortality of CHD patients because it can effectively dredge the narrow and occluded coronary artery lumen and achieve myocardial perfusion [4, 5]. Shajrawi Abedalmajeed et al have reported that PCI reduces the mortality of patients with acute myocardial infarction from 30.0% to 5.0%, but it cannot completely reverse coronary atherosclerosis, and the surgical operation damages the vascular wall of patients, resulting in various vascular complications after surgery and affecting the prognosis [6].

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Results

Conclusion