摘要
目的 探讨和分析心脏康复护理措施对ST段抬高型心肌梗死介入术后患者心脏功能恢复的影响。方法 选择我院在 2015年10月-2016年10月期间收治的80例ST段抬高型心肌梗死介入术后患者作为研究主体,按患者入院顺序分为甲 组(41例)和乙组(39)。甲乙两组患者均进行常规护理,甲组患者加用心脏康复护理,比较甲乙两组患者的LVEF 水平、ADL评分、SAS评分、六分钟步行距离以及护理满意度。结果 甲组患者的LVEF水平、ADL评分、SAS评分、六 分钟步行距离均优于乙组患者[(55.02+6.08)% vs (46.14+5.31)%,(63.27+12.41)分vs(42.25+2.34)分,(36.14+ 5.24)分vs(58.34+7.62)分, (331.51+61.24)m vs (280.11+51.16)m],甲组患者护理满意度(97.56%)优于乙组患 者(82.05%),差异均存在统计学意义(P<0.05)。结论 在ST段抬高型心肌梗死介入术后患者中,心脏康复护理 措施的应用效果很好,有效改善了患者的心脏功能,并提升了患者护理满意度,值得推广。
Objective To evaluate the effect of cardiac rehabilitation nursing on cardiac function in patients with ST segment elevation myocardial infarction after percutaneous coronary intervention. Methods 80 patients with ST segment elevation myocardial infarction in our hospital during October 2015-October 2016 were selected as the research subject, which were divvied into group A (41 cases) and group B (39) according to the order of admission. Both patients in group A and B were treated with routine nursing, cardiac rehabilitation nursing were additionally underwent in group A, the LVEF level, ADL score, SAS score, six minutes walking distance and nursing satisfaction were compared between groups. Results LVEF level. ADL score, SAS score, six minutes walking distance of group A were better than those of group B respectively, [(55.02+6.08)% vs (46.14+5.31)%, (63.27+12.41) points vs (42.25+2.34) points, (36.14+5.24) points vs (58.34+7.62) points, (331.51+61.24) m vs (280.11+51.16) m], the differences were statistical significance (P<0.05). Patients nursing satisfaction of group A (97.56%) was better than that of group B (82.05%), the differences were statistical significance (P<0.05). Conclusion Cardiac rehabilitation nursing has a good effect in patients with ST segment elevation myocardial infarction after percutaneous coronary intervention, which can effectively improve the heart function of patients, is worthy of clinic application.
【关键词】心脏康复护理;ST段抬高型心肌梗死;介入术;心脏功能
【中图分类号】R542.2
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2017.03.009
前言
目前,我国急性心梗死的发病率呈逐年递增趋 势,临床上主要是通过经皮冠脉介入术进行治疗, 用来恢复患者冠状动脉的血液循环和改善心肌缺血 情况。有研究指出,术后康复运动利于心脏功能恢 复[1]。为了探讨和分析心脏康复护理措施对ST段抬高 型心肌梗死介入术后患者心脏功能恢复的影响,选择 我院在2015年10月~2016年10月期间收治的80例ST段 抬高型心肌梗死介入术后患者作为研究主体,现将结 果报道如下。
罕少疾病杂志
第24卷, 第 3 期
2019年11月
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