摘要
分析I期心脏康复在心肌梗死患者急性期的应用价值。选取2023年9月—2024年8月于贵州省兴义市人民医院心内科接受经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)治疗的78例心肌梗死患者为研究对象,随机将其分为对照组和观察组,每组各39例。对照组实施心内科常规护理干预,观察组实施Ⅰ期心脏康复护理干预,比较两组患者的护理效果。结果显示,干预后,观察组的METs及6MWD值高于对照组(P<0.05);干预后,观察组的每搏输出量(SV)和心排量(CO)高于对照组(P<0.05);观察组非致死性心肌梗死、再发心绞痛及再住院率低于对照组(P<0.05);干预后,观察组的汉密尔顿焦虑量表(HAMA)评分及汉密尔顿抑郁量表(HAMD)评分低于对照组(P<0.05)。研究发现,针对心肌梗死急性期患者,在心内科常规护理干预的基础上实施Ⅰ期心脏康复护理干预,可促进患者心功能及心理状态的改善,降低患者的再入院率。
To analyze the application value of Phase Ⅰ cardiac rehabilitation in the acute phase of myocardial infarction patients.A total of 78 myocardial infarction patients who received percutaneous coronary intervention(PCI)in the Department of Cardiology of Xingyi People’s Hospital from September 2023 to August 2024 were selected as the research objects and randomly divided into a control group and an observation group,with 39 cases in each group.The control group received routine nursing intervention in cardiology,and the observation group received Phase Ⅰ cardiac rehabilitation nursing intervention.The nursing effects of the two groups were compared.The results showed that after intervention,the METs and 6MWD values of the observation group were higher than those of the control group(P<0.05);after intervention,the stroke volume(SV)and cardiac output(CO)of the observation group were higher than those of the control group(P<0.05);the rates of non-fatal myocardial infarction,recurrent angina pectoris,and rehospitalization in the observation group were lower than those in the control group(P<0.05);after intervention,the scores of Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)in the observation group were lower than those in the control group(P<0.05).The study found that for patients with acute myocardial infarction,implementing Phase Ⅰ cardiac rehabilitation nursing intervention on the basis of routine nursing intervention in cardiology can promote the improvement of cardiac function and psychological state of patients and reduce the rehospitalization rate of patients.
作者
宋林
曹鸿
Song Lin;Cao Hong(Department of Cardiology,Xingyi People’s Hospital,Xingyi,Guizhou 562400)
出处
《科技与健康》
2025年第12期133-136,共4页
Technology and Health
关键词
心肌梗死
Ⅰ期心脏康复
急性期
心功能
再入院率
myocardial infarction
PhaseⅠcardiac rehabilitation
acute phase
cardiac function
rehospitalization rate
