路径化引导下心脏康复护理对急性心肌梗死PCI术后患者的影响

摘要/Abstract

摘要： 目的观察路径化引导下心脏康复护理对急性心肌梗死经皮冠状动脉介入（PCI）术后患者的影响。方法选取徐州医科大学附属医院2021年1月至2023年12月收治的112例急性心肌梗死PCI术后患者,按照随机信封法分为两组,对照组（56例）采用常规护理,研究组（56例）则联用路径化引导下心脏康复护理,对比两组应用效果。结果研究组左室射血分数（LVEF）和日常活动能力（BI）、6分钟步行试验（6MWT）评分高于对照组,且不良心血管事件发生率、病症复发率和汉密尔顿焦虑量表（HAMA）、焦虑自评量表（SAS）评分低于对照组,住院时间和首次离床活动时间短于对照组,差异有统计学意义（P<0.05）。结论路径化引导下心脏康复护理在急性心肌梗死PCI术后患者中的应用效果较好,能够增强其心功能,协助改善患者生理生活状态,并缓解负性情绪,降低PCI术后不良心血管事件及病症复发风险,实用性较高。

关键词: 路径化引导下心脏康复护理, 急性心肌梗死, 经皮冠状动脉介入术, 负性情绪, 心功能, 不良心血管事件

Abstract: Objective To investigate the effect of pathway-guided cardiac rehabilitation nursing on patients after percutaneous coronary intervention (PCI) for acute myocardial infarction. Methods A total of 112 patients who were admitted to The Affiliated Hospital of Xuzhou Medical University from January 2021 to December 2023 and underwent PCI for acute myocardial infarction were enrolled and divided into study group and control group using the envelope method, with 56 patients in each group. The patients in the control group received routine nursing, while those in the study group received pathway-guided cardiac rehabilitation nursing in addition. The application effect was compared between the two groups. Results Compared with the control group, the study group had significantly higher left ventricular ejection fraction, Barthel Index for activities of daily living, and six-minute walk test score and significantly lower incidence rate of adverse cardiovascular events, disease recurrence rate, and scores of Hamilton Anxiety Scale and Self-Rating Anxiety Scale, as well as significantly shorter length of hospital stay and time to first ambulation (P<0.05). Conclusion Pathway-guided cardiac rehabilitation nursing has a good application effect in patients after PCI for acute myocardial infarction and can enhance their cardiac function, assist in improving their physiological life status, alleviate negative emotions, and reduce the risk of adverse cardiovascular events and disease recurrence after PCI, with a relatively high level of practicality.

Key words: Pathway-guided cardiac rehabilitation nursing, Acute myocardial infarction, Percutaneous coronary intervention, Negative emotions, Cardiac function, Adverse cardiovascular events

丁微. 路径化引导下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, 2024, 14(9): 86-89.

DING Wei. Effect of pathway-guided cardiac rehabilitation nursing on patients after percutaneous coronary intervention for acute myocardial infarction[J]. Prevention and Treatment of Cardiovascular Disease, 2024, 14(9): 86-89.

参考文献

[1] 苏晓芳,刘淑慧,王庆华.序贯式心脏康复运动训练对急性心肌梗死行PCI患者术后生活质量和步行能力的影响[J].卫生职业教育, 2023,41(23):158-160.
[2] 孙穗花.路径心脏康复锻炼对老年PCI术后患者心功能及生活质量的影响[J].黑龙江医药科学,2020,43(5):95-96.
[3] 杨阳.早期个体化心脏康复护理对急诊经皮冠状动脉介入术后心肌梗死患者临床疗效的影响[J].中国中西医结合急救杂志,2021,28(1):95-98.
[4] 中华医学会心血管病学分会,中华心血管病杂志编辑委员会,韩雅玲,等.急性心肌梗死合并心原性休克诊断和治疗中国专家共识(2021)[J].中华心血管病杂志,2022,50(3):231-242.
[5] 秦婷婷,陈陪陪,倪俭,等.共情与渐进式护理对急性心肌梗死PCI术后患者心脏功能,应对方式的影响[J].河北医药, 2023, 45(16):2546-2548.
[6] 陈恒,邵聪文,马喜云.心脏运动康复训练联合心理干预在急性心肌梗死患者PCI术后护理中的应用[J].保健医学研究与实践, 2023, 20(4):109-113.
[7] 许艳,董争青,张景蚕.Ⅰ期心脏康复运动在急性心肌梗死病人PCI术后护理中的应用效果[J].包头医学, 2023, 47(2):54-56.
[8] 胡业梅,邵胜胜,张雅文,等.多维度心脏康复模式对急性心肌梗死PCI术后患者预后及Lp-PLA_(2)的影响[J].中华全科医学, 2023, 21(9):1498-1502.
[9] 权党军,赵俊龙,王晓玲.心脏康复训练对急性心肌梗死患者PCI术后的心肺储备功能,生活质量的影响[J].海南医学, 2023, 34(20):2929-2933.
[10] 关丽丽,杨彦萍,屈沛沛.早期心脏康复在急性心肌梗死PCI术后护理中的应用研究[J].罕少疾病杂志,2020,27(1):6-7,24.
[11] 祁承菊.早期心脏康复在急性心肌梗死PCI术后护理中的应用研究[J].国际护理医学, 2020, 2(1):47-47.
[12] 张云,胡秋利.基于5A模式的早期心脏康复护理对急性心肌梗死PCI术后患者自我管理能力及心功能的影响[J].反射疗法与康复医学,2021,2(19):69-72.
[13] 蔡伟,曾娟,刘素芸,等.急救护理路径联合早期心脏康复护理对急性心肌梗死PCI术后运动耐力及生活自理能力的影响[J].现代诊断与治疗, 2023, 34(15):2365-2367.
[14] 薛文辉.阶段式心脏康复训练在老年急性心肌梗死患者急诊PCI术后护理中的应用[J].当代护士(中旬刊),2023,30(1):29-32.
[15] 蔡颂娟,杨广龙,汪凛,等.心脏康复护理在心肌梗死PCI术后的应用[J].中国继续医学教育,2020,12(17):175-177.