摘要
目的:探讨术前心脏康复护理干预对ST-T段抬高型心肌梗死患者急诊经皮冠状动脉介入术(PCI)术后心功能及生活质量的影响。方法:2019年1月-2020年1月于郑州市第七人民医院行急诊PCI术的82例急性ST-T段抬高型心肌梗死患者作为研究对象,按随机数表法分为观察组和对照组,每组各41例;对照组术前给予常规护理,观察者组术前给予早期心脏康复护理;对比两组患者6分钟步行实验(6MWT)、自理能力、心功能指标、生活质量。结果:两组患者术后7 d6MWT、Barthel指数评分均较入院时升高,且观察组高于对照组(P<0.05)。观察组患者急诊PCI术后1个月左心室射血分数(LVEF)、左心室舒张末期容积(LVEDV)、左心室收缩末期容积(LVESV)高于对照组(P<0.05),而室壁运动积分(WMSI)低于对照组(P<0.05)。观察组患者急诊PCI术后1个月总体健康感、躯体疼痛、生理职能、生理功能、情感职能、社会功能、心理健康、活力指数高于对照组(P<0.05)。结论:术前心脏康复护理干预可有效提高ST-T段抬高型心肌梗死患者急诊PCI术后自理能力、心功能及生活质量。
Objective: To explore the effect of preoperative cardiac rehabilitation nursing intervention on the cardiac function and quality of life in patients with ST-T segment elevation myocardial infarction after emergency percutaneous coronary intervention(PCI).Methods:From January 2019 to January 2020, 82 patients with acute ST-T elevation myocardial infarction who underwent emergency PCI in the hospital were selected as the research objects. They were divided into observation group and control group according to the random number table method, 41 cases in each group. The control group was given routine care before operation, and the observation group was given early cardiac rehabilitation care before operation. The 6-minute walk test(6 MWT), self-care ability, cardiac function index, and quality of life of patients in the two groups were compared. Results: 7 days after operation,6 MWT and Barthel index scores of the two groups were higher than those at admission, and the observation group was higher than the control group(P<0.05).In the observation group, LVEF, LVEDV, and LVESV were higher than those in the control group(P<0.05), while WMSI was lower than that in the control group(P<0.05). One month after emergency PCI, the observation group’s health, physical pain, physical function, physiological function, emotional function, social function, mental health, and vitality index were higher than those of the control group(P<0.05). Conclusion: Preoperative cardiac rehabilitation nursing intervention can effectively improve the self-care ability, cardiac function and quality of life of patients with ST-T segment elevation myocardial infarction after emergency PCI.
作者
李姗姗
LI Shan-shan(The Seventh People'sHospital of Zhengzhou,Zhengzhou,Henan,450000,China)
出处
《黑龙江医学》
2021年第4期385-386,389,共3页
Heilongjiang Medical Journal
关键词
术前心脏康复护理
ST-T段抬高
心肌梗死
急诊经皮冠状动脉介入术
心功能
生活质量
Preoperative cardiac rehabilitation care
ST-T segment elevation
Myocardial infarction
Emergency percutaneous coronary intervention
Cardiac function
Quality of life
