摘要
目的:探究早期运动康复联合整体护理对介入治疗急性心肌梗死合并睡眠障碍患者的应用效果。方法:选取2019年3月5日至2021年9月5日中国人民解放军联勤保障部队第910医院收治的急性心肌梗死介入术后伴随睡眠障碍的患者70例作为研究对象,按照随机数字表法分为观察组和对照组,每组35人。对照组采用整体护理的方式进行干预,观察组在对照组的基础上进行早期运动康复干预。采用健康调查简表(SF-36)比较2组患者的生命质量变化情况,采用匹兹堡睡眠指数量表(PSQI)比较2组患者干预前后睡眠质量的改善情况,同时比较2组患者不良不良事件复发率。结果:干预后,2组患者SF-36量表评分均较干预前有所升高,且观察组SF-36评分显著高于对照组,观察组PSQI评分显著低于对照组,观察组不良事件复发率显著低于对照组,2组比较差异均有统计学意义(均P<0.05)。结论:早期运动康复联合整体护理对改善行介入治疗急性心肌梗死患者睡眠障碍、生命质量皆有较好的效果,另外,可有效降低患者不良事件复发率,促进侧支循环建立,改善心功能,值得临床推广使用。
Objective:To explore the effect of early exercise rehabilitation combined with holistic nursing on patients with acute myocardial infarction complicated with sleep disorder after interventional therapy.Methods:A total of 70 patients with sleep disorder after acute myocardial infarction intervention who were admitted to the 910 hospital of the joint logistics support force of the Chinese People’s Liberation Army from March 52019 to September 52021 were selected as the study subjects.They were divided into the observation group and the control group according to the random number table,with 35 people in each group.The control group was given holistic nursing intervention,and the observation group was combined with early exercise rehabilitation on the basis of the control group.The MOS item short from health survey(SF-36)was used to compare the changes of the quality of life between the two groups,and the Pittsburgh Sleep Quality Index(PSQI)was used to compare the improvement of the quality of sleep of the patients in the 2 groups before and after intervention.Meanwhile,the recurrence rate of adverse events was compared as well.Results:After the intervention,the SF-36 score of the two groups was both higher than before.The SF-36 score of the observation group was significantly higher than the control group,the PSQI score of the observation group was significantly lower than the control group,and the recurrence rate of adverse events in the observation group was significantly lower than the control group.The differences between the 2 groups were statistically significant(Ps<0.05).Conclusion:Early exercise rehabilitation combined with holistic nursing has a good effect on improving sleep disorder and quality of life of patients with acute myocardial infarction undergoing interventional therapy.In addition,it can effectively reduce the recurrence rate of adverse events,promote the establishment of collateral circulation and improve cardiac function,which is worthy of clinical promotion.
作者
何桂凤
黄艺峰
杨毅
梁礼平
彭伟生
黄莹
HE Guifeng;HUANG Yifeng;YANG Yi;LIANG Liping;PENG Weisheng;HUANG Ying(Radiology diagnosis Department of 910 Hospital of the Joint Logistics Support Force of the Chinese People′s Liberation Army,Quanzhou 362000,China;Health Service Department of 910 Hospital of the Joint Logistics Support Force of the Chinese People′s Liberation Army,Quanzhou 362000,China)
出处
《世界睡眠医学杂志》
2022年第8期1505-1508,共4页
World Journal of Sleep Medicine
关键词
早期运动康复
整体护理
介入治疗
急性心肌梗死
睡眠障碍
Early exercise rehabilitation
Holistic nursing
Interventional therapy
Acute myocardial infarction
Sleep disorder
