PMID- 34017470
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20210523
IS  - 1943-8141 (Print)
IS  - 1943-8141 (Electronic)
IS  - 1943-8141 (Linking)
VI  - 13
IP  - 4
DP  - 2021
TI  - Research and application of KABP nursing model in cardiac rehabilitation of 
      patients with acute myocardial infarction after PCI.
PG  - 3022-3033
AB  - OBJECTIVE: To investigate the effect of a nursing protocol based on the KABP 
      (Knowledge, Attitude, Belief and Practice) model in the cardiac rehabilitation 
      (CR) of patients with acute myocardial infarction (AMI) after percutaneous 
      coronary intervention (PCI). METHODS: In this prospective study, a total of 76 
      patients with AMI who underwent PCI were selected as the research objects. 
      Through random number table, the participants were divided into 41 cases in the 
      KABP group (cardiac rehabilitation nursing based on KABP model) and 35 cases in 
      the control group (conventional rehabilitation nursing). All patients underwent 
      echocardiography within 48 hours after PCI and 3 months after the postoperative 
      follow-up to determine the improvement of their cardiac function. The risk of 
      falling out of bed for 7 days after surgery, the physical improvement and 
      exercise endurance before and after the intervention, as well as the scores of 
      Coronary Artery Disease Self-Management Scale (CSMS) and China Questionnaire of 
      Quality of Life in Patients with Cardiovascular Diseases (CQQC) were compared 
      between the two groups. RESULTS: Within 48 hours after operation, there was no 
      significant difference in the indicators of cardiac function between the two 
      groups (all P>0.05). After 3 months of postoperative follow-up, the improvement 
      of cardiac function of KABP group including left ventricular ejection fraction, 
      stroke volume, and cardiac index were significantly better than those of the 
      control group (all P<0.05), and NYHA class was also significantly better than 
      that of the control group (P<0.001). On the 7th day after operation, the high 
      risk of falling out of bed in the KABP group (17.07%) was significantly lower 
      than that in the control group (74.29%; P<0.001). The metabolic equivalent, 
      6-minute walk test scores, and CQQC scores of the KABP group were significantly 
      higher than those of the control group (all P<0.01). The total scores of daily 
      life management, disease medical management, emotional cognitive management and 
      self-management in CSMS were significantly higher than those of the control group 
      (all P<0.01). CONCLUSION: Cardiac rehabilitation care based on the KABP model can 
      improve the recovery of cardiac function of AMI patients after PCI, reduce the 
      risk of falling out of bed, help patients recover their physical status and 
      exercise endurance, and improve their management behavior and postoperative life 
      quality.
CI  - AJTR Copyright (c) 2021.
FAU - Qu, Baoming
AU  - Qu B
AD  - Department of Geriatrics, The Eighth People's Hospital of Qingdao Qingdao, 
      Shandong Province, China.
FAU - Hou, Qingling
AU  - Hou Q
AD  - The Fourth Department of Internal Medicine, Yantai Penglai People's Hospital 
      Yantai, Shandong Province, China.
FAU - Men, Xiuzhen
AU  - Men X
AD  - Department of Internal Medicine Interventional Nursing, The Second People's 
      Hospital of Dongying Dongying, Shandong Province, China.
FAU - Zhai, Xiaoli
AU  - Zhai X
AD  - Department of Cardiovasology, The People's Hospital of Huimin Binzhou, Shandong 
      Province, China.
FAU - Jiang, Tong
AU  - Jiang T
AD  - Department of Emergency, Zhangdian District People's Hospital Zibo, Shandong 
      Province, China.
FAU - Wang, Rongfang
AU  - Wang R
AD  - Department of Radiology, Brain Hospital of Weifang People's Hospital Weifang, 
      Shandong Province, China.
LA  - eng
PT  - Journal Article
DEP - 20210415
PL  - United States
TA  - Am J Transl Res
JT  - American journal of translational research
JID - 101493030
PMC - PMC8129220
OTO - NOTNLM
OT  - Nursing model of knowledge
OT  - acute myocardial infarction
OT  - attitude
OT  - belief and practice
OT  - cardiac function
OT  - cardiac rehabilitation
OT  - percutaneous coronary intervention
COIS- None.
EDAT- 2021/05/22 06:00
MHDA- 2021/05/22 06:01
PMCR- 2021/04/15
CRDT- 2021/05/21 06:31
PHST- 2020/12/19 00:00 [received]
PHST- 2021/01/21 00:00 [accepted]
PHST- 2021/05/21 06:31 [entrez]
PHST- 2021/05/22 06:00 [pubmed]
PHST- 2021/05/22 06:01 [medline]
PHST- 2021/04/15 00:00 [pmc-release]
PST - epublish
SO  - Am J Transl Res. 2021 Apr 15;13(4):3022-3033. eCollection 2021.