早期心脏康复联合渐进式护理在急性心肌梗死PCI术后ICU护理中的应用效果研究

摘要/Abstract

摘要： 目的探讨早期心脏康复联合渐进式护理在急性心肌梗死PCI术后ICU护理中的应用效果。方法选取我院于2022年5月至2023年5月期间收诊的急性心梗PCI术治疗的120例患者,按照随机数表法分为对照组和观察组,每组60例。给予对照组患者常规护理,给予观察组患者在对照组基础上加入早期心脏康复联合渐进式护理,比较心脏功能指标、不良心血管事件发生次数、心功能分级、应对方式问卷（CSQ）评分、心理应激反应（SCL-90）评分、护理满意度。结果护理后,观察组的LVEF、LVEDD较对照组更高（P<0.05）。观察组出现猝死、再发急性心肌梗死、心绞痛、严重心律失常、心力衰竭等不良心血管事件发生率高于对照组,但差异无统计学意义（P>0.05）。观察组I级、II级人数多于对照组,III级、IV级人数少于对照组（P<0.05）。观察组的CSQ评分显著高于对照组,SCL-90评分低于对照组（P<0.05）。观察组的护理满意度高于对照组（P<0.05）。结论早期心脏康复联合渐进式护理可有效提高PCI术后急性心肌梗死患者的心脏功能,优化心功能分级,改善患者的心理状态和提高护理满意度。尽管对不良心血管事件的影响未见统计学差异,但该综合护理模式有助于提高患者的整体康复质量。

关键词: 早期心脏康复, 渐进式护理, 急性心肌梗死, PCI术, ICU护理

Abstract: Objective To investigate the application effect of early cardiac rehabilitation combined with progressive nursing in intensive care unit(ICU) nursing after percutaneous coronary intervention (PCI) for acute myocardial infarction. Methods A total of 120 patients who were admitted to our hospital and underwent PCI for acute myocardial infarction from May 2022 to May 2023 were enrolled and divided into control group and observation group using a random number table, with 60 patients in each group. The patients in the control group were given routine nursing, and those in the observation group were given early cardiac rehabilitation combined with progressive nursing in addition to the nursing in the control group. The two groups were compared in terms of cardiac function parameters, number of adverse cardiovascular events, cardiac functional grading, coping style questionnaire (CSQ) score, mental stress reaction (SCL-90) score, and degree of satisfaction with nursing. Results After nursing, the observation group had significantly higher left ventricular ejection fraction and left ventricular end-diastolic diameter (P<0.05). Compared with the control group, the observation group had higher incidence rates of the adverse cardiovascular events such as sudden death, recurrent acute myocardial infarction, angina pectoris, severe arrhythmia, and heart failure (P>0.05). Compared with the control group, the observation group had significantly higher numbers of patients with grade I/II cardiac function and significantly lower numbers of patients with grade III/IV cardiac function (P<0.05). Compared with the control group, the observation group had a significantly higher CSQ score and a significantly lower SCL-90 score (P<0.05). The observation group had a significantly higher degree of satisfaction with nursing than the control group (P<0.05). Conclusion For patients withacute myocardial infarctionafter PCI, early cardiac rehabilitation combined with progressive nursing can effectively improve cardiac function, optimize cardiac functional grading, improve psychological state, and increase the degree of satisfaction with nursing. Although no statistical difference is observed for adverse cardiovascular events, such comprehensive nursing pattern can help to improve the overall rehabilitation quality of patients.

Key words: Early cardiac rehabilitation, Progressive nursing, Acute myocardial infarction, Percutaneous coronary intervention, Intensive care unit nursing

傅红霞. 早期心脏康复联合渐进式护理在急性心肌梗死PCI术后ICU护理中的应用效果研究[J]. 心血管病防治知识, 2024, 14(6): 81-85.

FU Hong-xia. Application effect of early cardiac rehabilitation combined with progressive nursing in intensive care unit nursing after percutaneous coronary intervention for acute myocardial infarction[J]. Prevention and Treatment of Cardiovascular Disease, 2024, 14(6): 81-85.

[1]	谢金, 江惠琼, 黄映婷, 李玉祥, 谢思欣. 血清hs-CRP、PTX-3表达与急性心肌梗死后室性心律失常发生的相关性研究[J]. 心血管病防治知识, 2024, 14(8): 11-13.
[2]	胡孝飞, 刘斌, 郭思婷. 血清载脂蛋白A联合脂蛋白相关磷脂酶A2对急性心肌梗死患者不良心血管事件的预测价值[J]. 心血管病防治知识, 2024, 14(8): 14-16.
[3]	任文懋. 沙库巴曲缬沙坦钠在高血压冠心病患者PCI术后的作用及对心功能的影响[J]. 心血管病防治知识, 2024, 14(8): 35-37.
[4]	高丽娟, 陈露, 陈平平. 早期心脏康复干预对冠心病 PCI 术后患者运动恐惧、运动依从性的影响[J]. 心血管病防治知识, 2024, 14(8): 56-59.
[5]	曲光彩. 基于聚焦解决模式的护理干预对EICU急性心肌梗死介入术后患者心理韧性及预后的影响[J]. 心血管病防治知识, 2024, 14(8): 78-81.
[6]	郑思, 饶情情. 急性心肌梗死患者中临床护理路径的构建思路与实施效果[J]. 心血管病防治知识, 2024, 14(8): 85-87.
[7]	彭小青. 急性心肌梗死患者出院准备度与恐动症的相关性研究[J]. 心血管病防治知识, 2024, 14(8): 95-97.
[8]	舒均波. 冠心病患者PCI术后养心汤加减化裁结合西药治疗作用及对血管内皮功能、心功能的影响[J]. 心血管病防治知识, 2024, 14(7): 3-5.
[9]	郑清丽, 杨玲芳, 陈丽芳. 动态心电图检测心脏自主神经功能、HRV指标预测急性心肌梗死患者预后的价值[J]. 心血管病防治知识, 2024, 14(7): 43-45.
[10]	洪惠燕, 曾玉贞. CCU冠心病PCI术后开展护理质控日志联合柏拉图护理的护理质量及SF-36评分的变化[J]. 心血管病防治知识, 2024, 14(7): 53-55.
[11]	董燕秋. 早期心脏康复护理联合综合心理干预对心肌梗死患者手术后抑郁情绪的影响[J]. 心血管病防治知识, 2024, 14(7): 81-83.
[12]	刘晓梅. 急性心肌梗死患者ICU护理中运用集束化激励式心理干预对心理情绪和血压水平的影响[J]. 心血管病防治知识, 2024, 14(7): 84-87.
[13]	李焰蕻, 赵发巧, 吴海丽. 基于时效性激励理论的集束化中西医结合护理干预在急性心肌梗死PCI术后患者中的应用[J]. 心血管病防治知识, 2024, 14(6): 106-109.
[14]	曾景蓉, 陈凤朱, 赵菁, 胡婷. “1M3S”护理管理模式对ICU急性心肌梗死患者并发症及不良心血管事件发生率的影响[J]. 心血管病防治知识, 2024, 14(5): 64-67.
[15]	刘汐茹. 行动研究法指导下的临床护理路径对急性心肌梗死患者应对方式及生活质量的影响[J]. 心血管病防治知识, 2024, 14(5): 71-74.

早期心脏康复联合渐进式护理在急性心肌梗死PCI术后ICU护理中的应用效果研究

Application effect of early cardiac rehabilitation combined with progressive nursing in intensive care unit nursing after percutaneous coronary intervention for acute myocardial infarction

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价