目的:探讨医护患协同模式对经皮冠状动脉介入治疗（PCI）术后患者远期自我管理能力及心血管事件的影响。方法:连续纳入成都医学院第一附属医院心血管内科行PCI术的急性心肌梗死患者160例，按照随机数字表法分为对照组和试验组各80例，对照组采用传统护理管理模式，试验组采用医护患协同护理模式进行术后护理。通过慢性病系统管理软件、自我管理行为量表、明尼苏达生命质量表、科室自制的医护工作考评表及满意度问卷调查，评估2组患者PCI术后6个月、12个月的自我管理能力和心血管事件发生情况。结果:试验组患者术后6个月不良嗜好管理、症状管理、情绪认知、急救管理、疾病知识管理、一般生活管理分别为96.3%（77/80）、73.8%（59/80）、80.0%（64/80）、91.3%（73/80）、85.0%（68/80）、81.3%（65/80），对照组分别为85.0%（68/80）、56.3%（45/80）、62.5%（50/80）、75.0%（60/80）、75.0%（60/80）、65.0%（52/80），2组比较差异有统计学意义（n χ2值为5.375~7.530，n P<0.05）；试验组患者术后12个月不良嗜好管理、症状管理、情绪认知、急救管理、疾病知识管理、一般生活管理、治疗依从性管理分别为91.3%（73/80）、78.8%（63/80）、82.5%（66/80）、93.8%（75/80）、87.5%（70/80）、86.2%（69/80）、93.8%（75/80），对照组分别为77.5%（62/80）、52.5%（42/80）、66.3%（53/80）、78.8%（63/80）、66.3%（53/80）、65.0%（52/80）、75.0%（60/80），2组比较差异有统计学意义（n χ2值为5.542~12.218，n P<0.05或0.01）。试验组患者术后6个月、12个月发生心血管事件分别为12、38例次，对照组分别为28、60例次；试验组术后12个月再入院为13例次，对照组为27例次，2组比较差异有统计学意义（n χ2值为8.533、12.745、6.533，n P<0.01或0.05）。试验组患者术后6个月、12个月生命质量评分为（31.26 ± 8.39）、（26.39 ± 4.76）分，医护工作质量评分为（77.44 ± 8.21）、（71.50 ± 5.73）分；对照组分别为（40.51 ± 8.38）、（35.39 ± 4.89）、（65.90 ± 5.62）、（63.55 ± 5.62）分，2组比较差异有统计学意义（n t值为-10.373~11.804，n P<0.01）。试验组患者对医护患协同模式的总体满意度为96.3%（77/80），高于对照组的85.0%（68/80），差异有统计学意义（n χ2值为5.959，n P<0.05）。n 结论:医护患协同模式使PCI术后患者远期自我管理能力得到提升，减少了PCI术后患者心血管事件的发生及再住院次数，提升了医护工作质量，提高了患者的生命质量及满意度。“,”Objective:To investigate the effect of doctor-nurse-patient collaborative nursing mode on long-term self-management ability and cardiovascular events of patients after percutaneous coronary intervention (PCI).Methods:Totally 160 patients who received PCI from the department of cardiology of the First Affiliated Hospital of Chengdu Medical College were randomly assigned to control group (n n=80) and experimental group (n n=80). The traditional nursing model was adopted in the control group. However, the nursing mode of doctor-nurse-patient collaborative was adopted in experimental group. The self-management ability and cardiovascular events in patients after PCI at 6 months and 12 months in two groups were both measured by chronic disease management software, self-behavioral management scale, Minnesota Living Scale, self-made medical care work assessment scale and self-made satisfaction questionnaire.n Results:The rates of adverse habits management, symptom management, emotional cognition, emergency management, disease knowledge management, general life management, and therapy compliance management in the experimental groups, 6 months after operation, were 96.3%(77/80), 73.8%(59/80), 80.0%(64/80), 91.3%(73/80), 85.0%(68/80), 81.3%(65/80), respectively. In the control group, the above indexes were 85.0%(68/80), 56.3%(45/80), 62.5%(50/80), 75%(60/80), 75%(60/80), 65%(52/80). The difference between the two groups was statistically significant (n χn 2 value was 5.375-7.530, n P<0.05). In the experimental group, 12 months after PCI, the rates of the above indexes were 91.3%(73/80), 78.8%(63/80), 82.5%(66/80), 93.8% (75/80), 87.5%(70/80), 86.3%(69/80), 93.8%(75/80). While, the ratios in the control group were 77.5%(62/80), 52.5%(42/80), 66.3%(53/80), 78.8%(63/80), 66.3%(53/80), 65.0%(52/80), 75.0%(60/80), there was significantly difference between two groups (n χn 2 value was 5.542-12.218, n P<0.05). Furthermore, there were 12 and 38 cases of cardiovascular events at 6 months and 12 months after operation, and 28 and 60 cases in the control group, respectively. Meanwhile, the number of re-hospitalizations events in experimental group were 13, and 27 in the control group, after 12 months operation, there was significantly difference between two groups(n χn 2 value was 8.533,12.745, 6.533, n P<0.05). The quality of life scores and medical work quality score in the experimental group in different months were 31.26±8.39 (6 months), 26.39±4.76 (12 months), 77.44±8.21 (6 months) and 71.50±5.73(12 months), respectively. However, the scores in the control group were 40.51±8.38, 35.39±4.89, 65.90±5.62, 63.55±5.62, there was significant difference between two groups (n t value was -10.373-11.804, n P<0.01). And the overall satisfaction of patients in the experimental group [96.3%(77/80)] was significantly higher than the control group [85.0% (68/80)]. The difference between the two groups was statistically significant (n χn 2 value was 5.959, n P<0.05).n Conclusion:The doctor-nurse-patient collaborative nursing mode can improve the long-term self-management ability, reduce the occurrence of cardiovascular events and the number of re-hospitalizations in patients after PCI, and improve the quality of life and satisfaction of patients.