The application of family-participatory care and risk warning management in elderly patients after PCI for acute myocardial Infarction
SHEN Yan
XU Jiayan
WU Jun
Abstract：Objective To explore the application effect of family-participatory care and risk warning management in elderly patients after percutaneous coronary intervention(PCI)for acute myocardial infarction(AMI).Methods By using the convenience sampling method,80 elderly AMI patients admitted to the department of cardiology of Wuxi people's hospital affiliated to Nanjing medical university between March and December 2023 were selected as the research objects.They were randomly divided into a control group and an observation group,each of 40,according to a random number table.Both groups were given routine rehabilitation care after PCI,while the observation group was additionally provided with family-participatory care and risk warning management.The cardiac function,exercise endurance,life quality and the incidence of adverse cardiovascular events were compared between the two groups.Results After the intervention,the left ventricular ejection fraction,left ventricular end systolic diameters,left ventricular end-diastolic diameter and cardiac output of the observation group were better than those of the control group(t=-6.652,P＜0.001;t=7.324,P＜0.001;t=6.756,P＜0.001;t=-7.231,P＜0.001),6-minute walking distance was longer than the latter(t=-3.537,P＜0.001),and each dimension of life quality of the observation group were all significantly better than those of the control group(P＜0.001 for all),while the incidence of adverse cardiovascular events was significantly lower than the latter(x2=5.000,P=0.025).Conclusion The adoption of family-participatory care and risk warning management for elderly AMI patients after PCI is beneficial for improving their cardiac function and exercise endurance,enhancing their quality of life,and reducing the incidence of adverse cardiovascular events.It is worthy of clinical promotion and application.
Keywords：Acute myocardial infarctionPercutaneous coronary interventionElderly patientFamily-participatory careRisk warning managementCardiac functionQuality of life
Publication Date：2025-08-20
Online Publishing Date：2025-09-24(First online date of this platform, not the publication date of the document)
Pages：6( 476-481 )