摘要
目的 分析早期分级康复护理对急性心肌梗死(AMI)介入治疗患者预后及生活质量的影响。方法 60例急性心肌梗死介入治疗患者,以随机抽签法分为对照组和观察组,每组30例。对照组术后采用常规护理,观察组在对照组基础上结合早期分级康复护理干预。比较两组患者干预前及干预1个月后格拉斯哥预后量表(GOS)、改良Barthel指数量表(MBI)评分,干预1个月后脑卒中影响量表3.0(SIS3.0)评分。结果 干预1个月后,观察组患者GOS评分、MBI评分分别为(13.1±1.2)、(71.8±4.8)分,均高于对照组的(11.0±0.9)、(64.4±5.2)分,差异具有统计学意义(P<0.05)。干预1个月后,观察组患者手功能、行动能力、记忆与思维、交流、力量、日常生活能力、情感、社会参与评分分别为(88.1±3.2)、(87.4±3.2)、(76.2±4.1)、(80.1±2.5)、(66.3±3.5)、(72.8±3.6)、(80.1±2.1)、(58.3±4.1)分,均高于对照组的(67.6±2.5)、(53.2±2.5)、(50.1±2.7)、(60.0±3.1)、(40.4±3.4)、(50.2±2.1)、(68.8±1.6)、(41.2±2.5)分,差异具有统计学意义(P<0.05)。结论 早期分级康复护理在急性心肌梗死介入治疗患者中实施,能够改善患者预后及生活质量,值得临床推广应用。
Objective To analyze the effect of early graded rehabilitation nursing on prognosis and quality of life of patients with acute myocardial infarction(AMI)undergoing interventional therapy.Methods A total of 60 patients with acute myocardial infarction undergoing interventional therapy were divided into control group and observation group according to random lottery method,with 30 cases in each group.The control group received conventional nursing after surgery,and the observation group was combined with early graded rehabilitation nursing intervention on the basis of the control group.Glasgow Outcome Scale(GOS)score and Modified Barthel Index(MBI)score before intervention and 1 month after intervention,and Stroke Impact Scale Version3.0(SIS 3.0)score 1 month after intervention were compared between the two groups.Results 1 month after intervention,GOS score and MBI score of the observation group were(13.1±1.2)and(71.8±4.8)points,which were higher than those of(11.0±0.9)and(64.4±5.2)points of the control group,and the differences were statistically significant(P<0.05).1 month after intervention,the scores of hand function,action ability,memory and thinking,communication,strength,activities of daily living,emotion,social participation were(88.1±3.2),(87.4±3.2),(76.2±4.1),(80.1±2.5),(66.3±3.5),(72.8±3.6),(80.1±2.1)and(58.3±4.1)points in the observation group,which were higher than those of(67.6±2.5),(53.2±2.5),(50.1±2.7),(60.0±3.1),(40.4±3.4),(50.2±2.1),(68.8±1.6)and(41.2±2.5)points in the control group,and the differences were statistically significant(P<0.05).Conclusion The implementation of early graded rehabilitation nursing in patients with myocardial infarction undergoing interventional therapy can improve the prognosis and quality of life of patients,and is worthy of clinical promotion and application.
作者
李莹
LI Ying(Dalian Central Hospital,Dalian 116033,China)
出处
《中国现代药物应用》
2023年第11期154-157,共4页
Chinese Journal of Modern Drug Application
关键词
心肌梗死
介入治疗
早期分级康复护理
生活自理能力
预后
生活质量
Myocardial infarction
Interventional therapy
Early graded rehabilitation nursing
Self-care ability
Prognosis
Quality of life
