ObjectiveTo explore the application effects of extended nursing model of digital health education in home recuperation patients with acute myocardial infarction after percutaneous coronary intervention(PCI).
MethodsNinety-seven acute myocardial infarction patients treated with PCI were randomly divided into the control group(48 cases)and extension group(49 cases).The control group were treated with routine nursing intervention, while the extension group were treated with digital health education extended nursing intervention after discharge.The mastery of disease knowledge at discharge and after 6 months of discharge, and changes of anxiety and depression at discharge, and after 3 and 6 months of discharge were compared between groups.The nursing compliance and adverse events within 6 months after discharge were compared between two groups.
ResultsThere was no statistical significance in the score of mastery of disease-related knowledge between two groups at discharge(P>0.05), the scores of mastery of disease-related knowledge in two groups after 6 months of discharge were significantly higher than that at discharge(P < 0.01), and the score of mastery of disease-related knowledge in extension group after 6 months of discharge was significantly higher than that in control group(P < 0.01).The differences of the scores of Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)among different among groups, time and interactions were statistically significant(P < 0.01), and there was no statistical significance in HAMA and HAMD scores between two groups at discharge(P>0.05).The scores of HAMA and HAMD in extension group after 3 and 6 months of discharge were significantly lower than those in control group(P < 0.05), and the scores of HAMA and HAMD in two groups after discharge decreased with the increasing of time(P < 0.05).The excellent and good rate of nursing compliance in extension group was significantly higher than that in control group(P < 0.05).The incidence rate of total adverse events in extension group within 6 months after discharge was significantly lower than that in control group(P < 0.05).
ConclusionsThe application of extended nursing mode of digital health education in home recuperation patients with acute myocardial infarction after PCI can significantly improve the cognitive level of patients, alleviate adverse emotion, improve nursing compliance, and reduce the occurrence of adverse events, which has the value of promotion and application.
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