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早期活动对心肌梗死患者住院时间、费用和生活能力的影响 被引量:5

Effects of Early Activities on Duration and Expenditure of Hospitalization and Activities of Daily Living of Patients with Myocardial Infarction
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摘要 目的探讨心肌梗死后早期活动对患者住院时间、住院费用和日常生活活动能力的影响.方法 68例无并发症急性心肌梗死患者分为早期活动组33例和对照组35例,早期活动组从入院后第2天开始床边活动训练,对照组从第10天开始进行活动训练,于患者出院前1周采用Barthel指数(BI)评定其日常生活活动能力(ADL),比较住院时间和住院费用.结果早期活动组的平均住院时间和平均住院费用均低于对照组( P〈0.05~0.01),出院时的ADL总分及多数分项评分均高于对照组( P〈0.05~0.01).结论心肌梗死后早期床边活动训练可缩短住院时间,减少医疗费用,改善患者的ADL. Objective To investigate the effects of early activities after acute myocardial infarction (AMI) on duration and expenditure of hospitalization and activities of daily living (ADI.) of patients. Methods 68 AMI inpatients without complications were divided into the early activity group (33 cases) and control group (35 cases). Patients of the early activity group started early activity training by the bed from the 2nd day after admission, and those of the control group from the 10th day. One week before discharge, ADL of all patients were assessed with Barthel index (BI), and duration and expenditure of hospitalization of two groups were compared. Results The average duration and expenditure of hospitalization in the early activity group were obviously lower than those in the control group ( P〈0.05~0.01), but the total scores of ADL and the scores of most items at discharge were markedly higher than those in the control group ( P〈0.05~0.01). Conclusion Early activity training by the bed can obviously shorten the duration of hospitalization, reduce the medical cost and improve the ADL of AMI patients.
作者 宋泽 国莉
出处 《中国康复理论与实践》 CSCD 2006年第6期542-543,共2页 Chinese Journal of Rehabilitation Theory and Practice
关键词 急性心肌梗死 早期活动 日常生活活动能力 acute myocardial infarction (AMI) early activity activities of daily living
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