摘要
目的探讨医护一体化联合康复护理在急性心肌梗死(AMI)患者的应用效果。方法选取2020年2月至2021年1月福建省龙岩市第二医院收治的68例AMI患者作为研究对象,采用随机数字表法将其分为观察组(34例)和对照组(34例)。对照组采用常规护理,观察组采用医护一体化联合康复护理,比较两组的日常生活能力、自我效能感、不良情绪、不良事件及护理满意度。结果两组干预后的改良Barthel指数(MBI)、一般自我效能感量表(GSES)评分高于干预前,且观察组的MBI、GSES评分高于对照组,差异均有统计学意义(P<0.05)。两组干预后的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于干预前,且观察组的SAS、SDS评分低于对照组,差异均有统计学意义(P<0.05)。观察组的不良事件总发生率低于对照组,观察组的护理总满意度高于对照组,差异均有统计学意义(P<0.05)。结论AMI患者采用医护一体化联合康复护理有明显效果,可提高患者日常生活能力、自我效能感与护理满意度,缓解焦虑、抑郁情绪,降低不良事件发生率,值得临床推广。
Objective To explore the application effect of integrated rehabilitation nursing care in patients with acute myocardial infarction(AMI).Methods A total of 68 patients with AMI admitted to Longyan Second Hospital in Fujian Province from February 2020 to January 2021 were selected as the research objects,and they were divided into the observation group(34 cases)and the control group(34 cases)according to random number table method.The control group was used conventional nursing care,and the observation group was used integrated medical-nursing combined rehabilitation nursing.The ability of daily living,self-efficacy,negative emotions,adverse events,and nursing satisfaction of two groups were compared.Results The modified barthel index(MBI)and general self-efficacy scale(GSES)scores of the two groups patients after the intervention were higher than those before the intervention,the MBI and GSES scores of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).The scores of the self-rating anxiety scale(SAS)and the self-rating depression scale(SDS)of the two groups patients were lower than before the intervention,the SAS and SDS scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).The total incidence of adverse events in the observation group was lower than that in the control group,the total satisfaction with care in the observation group was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion The use of integrated rehabilitation nursing for patients with AMI has obvious effect,which can improve the ability of daily living,self-efficacy and nursing satisfaction,reduce anxiety and depression,and reduce the incidence of adverse events,it is worthy of clinical promotion.
作者
邱晓春
陈新浩
QIU Xiao-chun;CHEN Xin-hao(Department of Cardiology,Longyan Second Hospital,Fujian Province,Longyan 364000,China)
出处
《中国当代医药》
CAS
2021年第31期231-233,237,共4页
China Modern Medicine
关键词
医护一体化
康复护理
急性心肌梗死
应用效果
Integration of medical care
Rehabilitation nursing
Acute myocardial infarction
Application effect
