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

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.

Influencing factors of care dependence in patients with coronary heart disease after percutaneous coronary intervention—A cross‐sectional study

“…Self‐care ability is closely related to patient quality of life (Zhu, Liu, et al, 2021 ; Zhu, Lu, et al, 2021 ), and patients themselves play the main role in their daily management. The good self‐management ability may help patients to reduce the incidence of postoperative complications (Zhao & Wang, 2022 ). However, the self‐care ability of patients after PCI is not optimistic, and they are highly dependent on others.…”

“…For example, self‐efficacy may influence cancer patients' pain management ability (Vilardaga et al, 2022 ), and low self‐efficacy cancer patients may be vulnerable to psychological morbidity (Howell et al, 2022 ). A study found that improving PCI patients' self‐efficacy level through external intervention would play an important role in their home care (Zhao & Wang, 2022 ). This study showed the similar results.…”

Effect of case management based on Omaha system on clinical symptoms and quality of life of coronary heart disease patients after percutaneous coronary intervention

“…For patients having undergone PCI, postoperative nursing management can also improve their QOL. A study performed by Zhao et al [22] showed that integrated nursing care based on the medical alliance model can improve the self-efficacy of CHD patients having undergone PCI, enhance their self-management ability, and reduce the incidence of postoperative complications, which is conducive to improving their prognosis. Lin et al [23] studied the effect of whole-cause care in patients with acute myocardial infarction having undergone emergency PCI.…”

Concept Analysis of Self Efficacy Among Coronary Heart Disease Patients Undergoing Percutaneous Coronary Intervention

“…The reason for selecting a concept is that coronary heart disease patients with high self-efficacy have stronger self-confidence in treatment, higher psychological resilience, lower risk of stress disorders, and lower anxiety or depression compared to those with low self-efficacy (Liu et al, 2018). Improving the self-efficacy among coronary heart disease patients undergoing PCI will improve self-management ability or selfcare dan decrease complication occurrence post surgery so which is conducive improve prognosis patients (Zhao & Wang, 2022).…”