格林模式对急性心肌梗死PCI术后患者自我管理水平的影响

目的：探讨格林模式的护理干预措施对急性心肌梗死PCI术后患者自我管理水平的影响。方法：将100例急性心肌梗死患者随机分为对照组和干预组各50例，对照组给予常规的心血管内科健康教育，而干预组在对照组的基础上采用格林模式进行干预：通过文献回顾，同时对急性心肌梗死PCI术后患者进行访谈，将影响急性心肌梗死PCI术后患者自我管理水平的相关因素归为倾向、促成和强化因素，针对各个因素，给予相应知识与技能培训，建立微信沟通媒介，提供相关学习资料，通过患者与家属自评及考核进行反馈。 结果：干预后干预组自我管理量表与生活质量量表的各个维度以及总分均高于对照组，差异具有统计学意义（P<0.05）。 结论：格林模式有助于提高急性心肌梗死PCI术后患者自我管理水平，提高患者生活质量。

Effect of Green model on promotion self-management for patients with acute myocardial infarction after percutaneous coronary intervention

Objective: To explore the effect of nursing intervention of Green mode on the self-management level of patients with acute myocardial infarction. Methods: 100 cases of acute myocardial infarction were randomly divided into control group and observation group. 50 cases in the control group were given conventional cardiovascular internal medicine health education, while the other 50 cases in the observation group were given intervention on the basis of Green mode. Through literature review and interviews with patients after PCI, the influence factors of self-management were surveyed. After the knowledge and skills training, establishing a communication medium with WeChat, providing relevant learning materials, the self-management level and quality of life of patient and family were evaluated. Results: The scores of total and each dimension of self-management and the quality of life in observation group were significantly higher than that of the control group （P<0.05）. Conclusion: Green model can improve the self-management level and improve the quality of life of PCI patients with acute myocardial infarction.