Application and efficacy of family nursing intervention in acute myocardial infarction patients under the guidance of continuing nursing theory

Objective To explore the effects of family nursing intervention on quality of life, medical compliance and readmission rate of acute myocardial infarction (AMI) patients undergoing percutaneous coronary intervention (PCI) and receiving the guidance of continuing nursing theory. Methods A total of 112 AMI patients from January 2014 to July 2015 were selected and randomly divided into intervention group and control group, each group with 56 cases. The patients of control group received routine nursing and follow-up, while the patients of intervention group were given family nursing intervention under the guidance of continuing nursing theory, including patients evaluation and strengthen training before discharge, home and telephone visit after discharge, group rehabilitation guidance, etc. After interventions, quality of life, medical compliance and readmission rate of the two groups after 6 and 12 months′ discharge were compared. Results After discharge of 6 months and 12 months, the proportion of regular medication, timely return, reasonable diet, regular exercise, quitting smoking in the intervention group were significantly higher than those of control group (P<0.05) . In the intervention group, MIDAS scores of 6 months (28.8±5.7) and 12 months (23.8±4.6) after discharge were significantly lower than (33.1±6.5) and (30.0±5.9) in the control group (P<0.05) . Readmission rate (3.6%) of intervention group at 12 months after discharge was significantly lower than 17.9% of the control group (χ2=5.973, P<0.05) . Conclusions Under the guidance of continuing nursing theory, family nursing intervention to AMI patients undergoing PCI can significantly improve patients′ medical compliance and quality of life after discharge, and reduce readmission rates, which provide a reference for the home care for chronic disease. Key words: Quality of life; Myocardial infarction; Continuing nursing; Family nursing; Compliance; Readmission