摘要
目的:观察个性化康复护理在急性心肌梗死经皮冠状动脉介入术(PCI)后患者中的应用效果。方法:选取2018年11月至2020年10月该院收治的134例急性心肌梗死PCI术后患者进行前瞻性研究,按随机数字表法将其分为对照组和观察组各67例。对照组采用常规康复护理,观察组在对照组基础上采用个性化康复护理,比较两组护理依从性、护理前后运动耐力水平、心功能指标[左心室舒张末期内径(LVEDD)、左心室收缩末期内径(LVESD)、左心室射血分数(LVEF)、心脏指数(CI)]水平、生命质量[生活质量综合评定问卷(GQOLI-74)]评分和心血管不良事件(MACE)发生率。结果:观察组护理依从性为95.52%(64/67),高于对照组的77.61%(52/67),差异有统计学意义(P<0.05);护理后,两组最大运动功率、无氧阈、峰值耗氧量和代谢当量等运动耐力水平均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);护理后,两组LVEF、CI水平均高于护理前,且观察组高于对照组,两组LVEDD、LVESD水平均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组躯体功能、心理功能、社会功能、物质生活状态等GQOLI-74评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组MACE发生率为2.99%,低于对照组的11.94%,差异有统计学意义(P<0.05)。结论:在常规康复护理基础上采用个性化康复护理可提高急性心肌梗死PCI术后患者护理预依从性、运动耐力水平和生命质量评分,改善心功能指标水平,降低MACE发生率,其效果优于单纯常规康复护理。
Objective:To observe application effects of individualized rehabilitation nursing in patients with acute myocardial infarction after percutaneous coronary intervention(PCI).Methods:A prospective study was conducted on 134 patients with acute myocardial infarction after PCI admitted to the hospital from November 2018 to October 2020.They were divided into control group and observation group according to the random number table method,67 cases in each.The control group received routine rehabilitation nursing,while the observation group was given the individualized rehabilitation nursing on the basis of that of the control group.The nursing compliance,the exercise endurance levels before and after the nursing,the cardiac function index levels[left ventricular end-diastolic diameter(LVEDD),left ventricular end-systolic diameter(LVESD),left ventricular ejection fraction(LVEF),cardiac index(CI)],the quality of life[general quality of life inventory(GQOLI-74)]score,and the incidence of cardiovascular adverse events(MACE)were compared between the two groups.Results:The nursing compliance of the observation group was 95.52%(64/67),which was higher the control group of 77.61%(52/67),and the difference was statistically significant(P<0.05).After the nursing,the exercise endurance levels of maximum exercise power,anaerobic threshold,peak oxygen consumption and metabolic equivalent in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the levels of LVEF and CI in the two groups were higher than those before the nursing,and those in the observation group were higher than those in the control group;the levels of LVEDD and LVESD in the two groups were lower than those before the nursing,and those in the observation group were lower than those in the control group;and the differences were statistically significant(P<0.05).The GQOLI-74 scores of physical function,psychologica
作者
党远征
DANG Yuanzheng(The 7th People’s Hospital of Zhengzhou,Zhengzhou 450000 Henan,China)
出处
《中国民康医学》
2022年第21期161-165,共5页
Medical Journal of Chinese People’s Health
关键词
个性化康复护理
急性心肌梗死
心功能
运动耐力
生命质量
心血管不良事件
Individualized rehabilitation nursing
Acute myocardial infarction
Cardiac function
Exercise endurance
Quality of life
Cardiovascular adverse event
