[1]高春凤.心脏康复护理模式对急性心肌梗死患者康复效果及生活质量的影响[J].医学信息,2024,37(10):153-156.[doi:10.3969/j.issn.1006-1959.2024.10.033]
　GAO Chun-feng.Effect of Cardiac Rehabilitation Nursing Mode on Rehabilitation Effect and Quality of Life in Patients with Acute Myocardial Infarction[J].Journal of Medical Information,2024,37(10):153-156.[doi:10.3969/j.issn.1006-1959.2024.10.033]
点击复制

心脏康复护理模式对急性心肌梗死患者康复效果及生活质量的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年10期
页码:
153-156
栏目:
护理研究
出版日期:
2024-05-15

文章信息/Info

Title:
Effect of Cardiac Rehabilitation Nursing Mode on Rehabilitation Effect and Quality of Life in Patients with Acute Myocardial Infarction
文章编号:
1006-1959（2024）10-0153-04
作者:
高春凤
（天津市胸科医院心内科，天津 300222）
Author(s):
GAO Chun-feng
(Department of Cardiology,Tianjin Chest Hospital,Tianjin 300222,China)
关键词:
心脏康复护理; 急性心肌梗死; 生活质量; 心功能
Keywords:
Cardiac rehabilitation nursing; Acute myocardial infarction; Quality of life; Cardiac function
分类号:
R473.5
DOI:
10.3969/j.issn.1006-1959.2024.10.033
文献标志码:
A
摘要:
目的 研究心脏康复护理模式对急性心肌梗死患者康复效果及生活质量的影响。方法 选取2021年4月-2022年4月在我院诊治的98例急性心肌梗死患者为研究对象，采用随机数字表法分为对照组和观察组，各49例。对照组采用常规护理，观察组在对照组基础上给予心脏康复护理模式，比较两组心功能指标[左室收缩末期内径（LVESD）、左室舒张末期内径（LVEDD）、左室射血分数（LVEF）、心脏指数（CI）]、生活质量水平、护理满意度、缺血性事件发生率。结果 两组干预后LVESD、LVEDD均小于干预前，LVEF、CI均大于干预前，且观察组LVESD、LVEDD均小于对照组，LVEF、CI均大于对照组（P＜0.05）；两组干预后生活质量水平均高于干预前，且观察组高于对照组（P＜0.05）；观察组护理满意度为95.92%，高于对照组的81.63%（P＜0.05）；观察组缺血性事件发生率为8.16%，低于对照组的20.41%（P＜0.05）。结论 心脏康复护理模式可促进急性心肌梗死患者心功能恢复，提高患者生活质量水平和护理满意度，预防缺血性事件，改善患者预后，实现较理想的护理效果。
Abstract:
Objective To study the effect of cardiac rehabilitation nursing mode on rehabilitation effect and quality of life in patients with acute myocardial infarction.Methods A total of 98 patients with acute myocardial infarction diagnosed and treated in our hospital from April 2021 to April 2022 were selected as the research objects. They were divided into control group and observation group by random number table method, with 49 patients in each group. The control group was given routine nursing, and the observation group was given cardiac rehabilitation nursing mode on the basis of the control group. The cardiac function indexes [left ventricular end systolic diameter (LVESD), left ventricular end diastolic diameter (LVEDD), left ventricular ejection fraction (LVEF), cardiac index (CI)], quality of life level, nursing satisfaction and incidence of ischemic events were compared between the two groups.Results After intervention, LVESD and LVEDD in the two groups were lower than those before intervention, LVEF and CI were higher than those before intervention, LVESD and LVEDD in the observation group were lower than those in the control group, LVEF and CI were higher than those in the control group (P<0.05). The quality of life of the two groups after intervention was higher than that before intervention, and that of the observation group was higher than that of the control group (P<0.05). The nursing satisfaction of the observation group was 95.92%, which was higher than 81.63% of the control group (P<0.05). The incidence of ischemic events in the observation group was 8.16%, which was lower than 20.41% in the control group (P<0.05).Conclusion Cardiac rehabilitation nursing mode can promote the recovery of cardiac function in patients with acute myocardial infarction, improve their quality of life and nursing satisfaction. Meanwhile, it can prevent ischemic events, improve the prognosis, and achieve better nursing effect.

参考文献/References:

[1]席茜,任振娟.多维度综合心脏康复护理模式在急性心肌梗死PCI病人中的应用[J].全科护理,2021,30(11):189-191.[2]殷涵,乔涵.心脏康复护理干预对急性心肌梗死患者心理状态与并发症的影响分析[J].基层医学论坛,2021,20(8):82-84.[3]叶丽宜,宗卫华,赖晓凤,等.早期心脏康复护理对急性心肌梗塞介人术后功能及缺血性事件发生风险的影响分析[J].实用临床护理学杂志,2018,3(21):4-5.[4]马小菊,蔡蕾,吴湘兰,等.早期多维度心脏康复护理模式对经皮冠状动脉介入治疗术后患者干预效果分析[J].中国实用护理杂志,2020,36(3):200-205.[5]孟丽芳.预见性护理在急性心肌梗死患者中的应用效果[J].中国药物与临床,2020,20(21):3685-3687.[6]汪晓丽,李锐.预见性护理对急性心肌梗死患者心功能及下肢深静脉血栓形成的影响[J].山西医药杂志,2020,49(2):231-232.[7]潘延平,王海燕.床旁快速心梗三合一检查在急性心肌梗死诊断中的临床应用价值[J].陕西医学杂志,2017,45(5):566-567.[8]李丽青.心梗介入治疗后患者实施心脏康复护理的效果分析[J].黑龙江医学,2017,40(1):83-84.[9]侯剑.冠心病相关急性心肌梗塞急诊介入治疗者的早期康复护理措施分析[J].川北医学院学报,2017,27(12):139-142.[10]徐俊.院前急救性护理干预在急性心肌梗塞患者救治中的应用效果分析[J].四川解剖学杂志,2020,15(3):85-87.[11]刘广丽.早期心脏康复护理在急性心肌梗死患者经皮冠状动脉介入术后中的应用效果[J].河南医学研究,2021,18(7):82-84.[12]杨霞,张玉霞,付梅英.心脏康复护理对老年性心衰患者及急性心肌梗死患者心理状态和并发症的影响[J].贵州医药,2019,28(10):180-183.[13]林丽卿,陈妙娟,陈丽珠.分析人性化护理对急性心肌梗塞患者急性期心理状态的影响[J].黑龙江中医药,2019,15(6):26-28.[14]魏安娜,留静,饶巧莹.急诊护理路径对急性心肌梗死抢救效果的影响[J].中国基层医药,2019,15(6):105-107.[15]杨竹,李军.纽曼系统护理对冠心病介入治疗患者疾病自我认知及生命质量的影响[J].中国实用护理杂志,2020,11(1):67-69.[16]樊莉.无缝衔接一体化急救护理模式在超急性期心肌梗塞患者急诊抢救中的应用价值分析[J].新疆医学,2022,25(2):21-24.[17]邱晓春.对心肌梗死患者实施早期心脏康复护理的临床应用效果观察[J].心血管病防治知识,2020,15(12):32-34.[18]胡亭亭,梅继文.多维度综合心脏康复护理对急性心肌梗死PCI术后患者的影响[J].心血管病防治知识,2022,25(4):120-122.[19]李广芬.针对急性心肌梗死患者实施人性化护理的护理效果分析[J].中国卫生标准管理,2021,25(5):54-56.[20]张利娟,彭倩,杨展.早期路径心脏康复对急性心肌梗死冠状动脉介入治疗术后心功能与心血管不良事件的影响[J].黑龙江医学,2021,25(10):101-103.

相似文献/References:

[1]郭建华.丹参川芎嗪联合阿托伐他汀钙治疗急性心肌梗死的疗效观察[J].医学信息,2018,31(01):145.[doi:10.3969/j.issn.1006-1959.2018.01.056]
　GUO Jian-hua.Effect of Salvia Miltiorrhiza Tetramethylpyrazine Combined with Atorvastatin Calcium in the Treatment of Acute Myocardial Infarction[J].Journal of Medical Information,2018,31(10):145.[doi:10.3969/j.issn.1006-1959.2018.01.056]
[2]余湘宁,赵献明.ECMO在危重症心脏疾病中的应用研究[J].医学信息,2018,31(04):38.[doi:10.3969/j.issn.1006-1959.2018.04.013]
　YU Xiang-ning,ZHAO Xian-ming.Study on the Application of ECMO in Critical Heart Disease[J].Journal of Medical Information,2018,31(10):38.[doi:10.3969/j.issn.1006-1959.2018.04.013]
[3]何 丽.应激性高血糖与急性心肌梗死的机制研究[J].医学信息,2022,35(10):74.[doi:10.3969/j.issn.1006-1959.2022.10.018]
　HE Li.Mechanism of Stress Hyperglycemia and Acute Myocardial Infarction[J].Journal of Medical Information,2022,35(10):74.[doi:10.3969/j.issn.1006-1959.2022.10.018]
[4]毛红岩,宁国贤.冠脉介入治疗对冠心病急性心肌梗死患者 心肌损伤及心室重塑的影响[J].医学信息,2018,31(12):102.[doi:10.3969/j.issn.1006-1959.2018.12.031]
　MAO Hong-yan,NING Guo-xian.Effects of Coronary Intervention on Myocardial Injury and Ventricular Remodeling in Patients with Coronary Heart Disease and Acute Myocardial Infarction[J].Journal of Medical Information,2018,31(10):102.[doi:10.3969/j.issn.1006-1959.2018.12.031]
[5]雷 锐,李 志.冠状动脉介入及替罗非班治疗老年急性心肌梗死并 心源性休克的疗效分析[J].医学信息,2018,31(14):150.[doi:10.3969/j.issn.1006-1959.2018.14.046]
　LEI Rui,LI Zhi.Effect of Coronary Intervention and Tirofiban on Elderly Patients with Acute Myocardial Infarction and Cardiogenic Shock[J].Journal of Medical Information,2018,31(10):150.[doi:10.3969/j.issn.1006-1959.2018.14.046]
[6]高 鹏,林文华,敬 锐,等.红细胞压积变化对急性ST段抬高型心肌梗死患者临床预后的影响[J].医学信息,2019,32(03):78.[doi:10.3969/j.issn.1006-1959.2019.03.024]
　GAO Peng,LIN Wen-hua,JING Rui,et al.Effect of Hematocrit Changes on Clinical Prognosis in Patients with Acute ST-segment Elevation Myocardial Infarction[J].Journal of Medical Information,2019,32(10):78.[doi:10.3969/j.issn.1006-1959.2019.03.024]
[7]高 珍,刘重斌,张菊英.氧疗对急性心肌梗死患者预后的影响[J].医学信息,2018,31(18):29.[doi:10.3969/j.issn.1006-1959.2018.18.011]
　GAO Zhen,LIU Chong-bin,ZHANG Ju-ying.Effect of Oxygenic Therapy on Prognosis of Patients with Acute Myocardial Infarction[J].Journal of Medical Information,2018,31(10):29.[doi:10.3969/j.issn.1006-1959.2018.18.011]
[8]韩 宇,朱丽丽,孙 婷,等.急性心肌梗死患者排便意愿的调查研究[J].医学信息,2018,31(20):111.[doi:10.3969/j.issn.1006-1959.2018.20.033]
　HAN Yu,ZHU Li-li,SUN Ting,et al.Investigation of Defecation Intention in Patients with Acute Myocardial Infarction[J].Journal of Medical Information,2018,31(10):111.[doi:10.3969/j.issn.1006-1959.2018.20.033]
[9]陈笑玲.急救护理流程再造在急性心肌梗死急诊介入治疗中的作用观察[J].医学信息,2018,31(23):168.[doi:10.3969/j.issn.1006-1959.2018.23.049]
　CHEN Xiao-ling.Effect of Emergency Nursing Process Reengineering on Emergency Percutaneous Coronary Intervention in Patients with Acute Myocardial Infarction[J].Journal of Medical Information,2018,31(10):168.[doi:10.3969/j.issn.1006-1959.2018.23.049]
[10]马洪俊,王玉平,刘 毅.主动脉内球囊反搏联合介入治疗急性心肌梗死伴心力衰竭的效果[J].医学信息,2022,35(13):136.[doi:10.3969/j.issn.1006-1959.2022.13.032]
　MA Hong-jun,WANG Yu-ping,LIU Yi.Effect of Intra-aortic Balloon Counterpulsation Combined with Interventional Therapy on Acute Myocardial Infarction Complicated with Heart Failure[J].Journal of Medical Information,2022,35(10):136.[doi:10.3969/j.issn.1006-1959.2022.13.032]

更新日期/Last Update: 1900-01-01