摘要目的? 探讨患者与家属共同参与专题讨论会在急性心肌梗死PCI术后患者宣教的应用效果.方法? 连续性选取2017年1月—2018年6月在宁波市第一医院住院治疗的急性心肌梗死并接受PCI手术的患者86例为研究对象,根据随机数字表法将其分为对照组和观察组各43例.对照组PCI术后仅给予患者口头宣教结合发放宣传手册的常规健康教育,观察组PCI术后在常规教育基础上开展患者与家属共同参与专题讨论会健康教育,均持续4周.比较干预后两组患者在急性心肌梗死健康知识的掌握程度、康复积极性、术后并发症及对整体护理满意度等方面的差异.结果? 干预4周后,观察组的急性心肌梗死患者健康知识评分为(94.3±4.0)分,高于对照组的(78.4±5.1)分,差异具有统计学意义(t=8.285,P＜0.05).观察组康复积极性的5个维度(治疗配合程度、依从程度、对康复的需求程度、受挫后情绪状况及家属与护士鼓励状况)得分均高于对照组(t值分别为4.726、5.114、3.975、7.116、5.893;P＜0.05).观察组患者术后并发症发生率为9.30%,低于对照组30.23%,差异具有统计学意义(χ2=5.939,P＜0.05).观察组护理满意度为96.73%,高于对照组的83.78%,差异具有统计学意义(χ2=4.904,P＜0.05).结论? 急性心肌梗死PCI术后患者与家属共同参与专题讨论会,可有效提升患者疾病知识掌握程度、整体护理满意度和患者康复的积极性,并降低患者术后的并发症发生率.

abstractsObjective? To explore the effects of symposium involving patients and their family members on health education in patients with acute myocardial infarction after percutaneous transluminal coronary intervention (PCI). Methods? Totally 86 patients with acute myocardial infarction receiving PCI in Ningbo First Hospital from January 2017 to June 2018 were selected continuously and divided into the control group (n=43) and the observation group (n=43). Patients in the control group received conventional health education which combined oral education and education manuals, while patients in the observation group symposium-based health education which involved both patients and their family members on the basis of conventional education after PCI. Both groups received health education for 4 weeks. Health knowledge about acute myocardial infarction, rehabilitation initiative, postoperative complication and satisfaction with overall nursing were compared between the two groups before and after intervention. Results? The health-related knowledge of the patients with acute myocardial infarction in the observation group 4 weeks after intervention scored (94.3±4.0), higher than that of the control group, which was (78.4±5.1), and there was statistically significant difference (t=8.285, P＜ 0.05). The scores of five dimensions of rehabilitation initiative (coordination with therapy, compliance, needs for rehabilitation, emotions post frustration and encouragement from family members and nurses) of the observation group were higher than those of the control group (t=4.726, 5.114, 3.975, 7.116, 5.893; P＜0.05). The incidence rate of postoperative complication in the observation group was 9.30%, lower than that of the control group, which was 30.23%, and there was statistically significant difference (χ2=5.939, P＜0.05). The nursing satisfaction of the observation group was 96.73%, higher than that of the control group, which was 83.78%, and there was statistically significant difference (χ2=4.904, P＜0.05). Conclusions? The symposium involving patients and their family members for patients with acute myocardial infarction after PCI can improve the patients' disease-related knowledge, satisfaction with overall nursing and rehabilitation initiative, and reduce the postoperative complications effectively.