摘要
目的 研究三位一体个案管理模式在急性心梗PCI患者术后二级预防中的应用。方法 选取2023年3月–2024年3月在我院行PCI术的200例冠心病患者，采用抽签法将其分为实验组和对照组，对照组行术后二级预防，实验组加三位一体个案管理模式，对比组间用药依从性评分、生活质量评分和并发症发生率差异。结果 实验组遵医行为高于对照组，P＜0.05，再入院率对比，观察组低于对照组，P﹤0.05；实验组住院天数短于对照组，P＜0.05；实验组住院费用低于对照组，P＜0.05；出院1月、3月满意度对比，实验组比对照组高，差异存在统计学意义，P＜0.05；实验组不良事件发生率比对照组低，指标对比差异显著，P＜0.05。结论 行PCI术的冠心病患者采用三位一体个案管理模式可取得良好的效果，该措施可有效提升患者的治疗依从性，并能够降低患者的并发症发生率，对于患者生活质量的提升有着促进作用，可进行推广。
关键词： 三位一体；个案管理；急性心梗；PCI术；二级预防
Abstract
Objective To study the application of Trinity case management model in secondary prevention of patients with acute myocardial infarction after PCI. Methods 200 patients with coronary heart disease who underwent PCI in our hospital from March 2023 to March 2024 were selected and divided into experimental group and control group by drawing lots. The control group received postoperative secondary prevention, and the experimental group was combined with trinity case management mode. Differences in medication compliance score, quality of life score and complication rate were compared between groups. Results The compliance behavior of the experimental group was higher than that of the control group, P<0.05; the readmission rate of the observation group was lower than that of the control group, P<0.05; The days of hospitalization in the experimental group was shorter than that in the control group, P < 0.05; The hospitalization cost of the experimental group was lower than that of the control group, P < 0.05; The satisfaction of the experimental group was higher than that of the control group in 1 and 3 months after discharge, and the difference was statistically significant (P < 0.05). The incidence of adverse events in the experimental group was lower than that in the control group, and the difference was significant (P < 0.05). Conclusion The Trinity case management model can achieve good results in patients with coronary heart disease undergoing PCI. This measure can effectively improve the treatment compliance of patients and reduce the incidence of complications of patients. It can promote the improvement of patients' quality of life and can be promoted.
Key words： Trinity; Case management; Acute myocardial infarction; PCI; Secondary prevention
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