摘要
目的研究家属参与式个案管理在急性心肌梗死经皮冠状动脉介入治疗(PCI)术后患者心脏康复中的应用效果。方法将200例急性心肌梗死PCI术后患者按随机抽签分组原则分为观察组和对照组,每组100例。观察组采取家属参与式个案管理,对照组采取常规护理管理。比较两组的护理效果。结果护理后,观察组的生活方式依从性优于对照组(P<0.05)。护理后,观察组的心脏指数(CI)、左心室射血分数(LVEF)及6 min步行距离(6MWD)优于对照组(P<0.05)。观察组的心血管事件总发生率低于对照组(P<0.05)。护理后,观察组的焦虑自评量表(SAS)、抑郁自评量表(SDS)及心肌梗死多维度评估量表(MIDAS)评分低于对照组(P<0.05)。结论家属参与式个案管理应用于急性心肌梗死PCI术后患者心脏康复中的效果显著。
Objective To study the application effect of family participation case management in cardiac rehabilitation of patients with acute myocardial infarction after percutaneous coronary intervention(PCI).Methods A total of 200 patients with acute myocardial infarction after PCI were divided into observation group and control group according to the principle of random drawing,with 100 cases in each group.The observation group took family participation case management,and the control group took routine nursing management.The nursing effect of the two groups was compared.Results After nursing,the life style compliance in the observation group was better than that in the control group(P<0.05).After nursing,cardiac index(CI),left ventricular ejection fraction(LVEF)and 6-min walk distance(6MWD)in the observation group were better than those in the control group(P<0.05).The total incidence of cardiovascular events in the observation group was lower than that in the control group(P<0.05).After nursing,the Self Rating Anxiety Scale(SAS),Self Rating Depression Scale(SDS)and Myocardial Infarction Multi-Dimensional Assessment Scale(MIDAS)scores of the observation group were lower than those of the control group(P<0.05).Conclusion The family participation case management applied in cardiac rehabilitation of patients with acute myocardial infarction after PCI has a remarkable effect.
作者
魏娜
鱼波
WEI Na;YU Bo(the Third Hospital of Yulin,Yulin 719000,China)
出处
《临床医学研究与实践》
2023年第1期158-160,共3页
Clinical Research and Practice
关键词
家属参与式个案管理
急性心肌梗死
经皮冠状动脉介入治疗
心脏康复
family participation case management
acute myocardial infarction
percutaneous coronary intervention
cardiac rehabilitation
