摘要
目的:探讨早期心脏康复护理对经皮冠状动脉介入治疗(PCI)术后患者心功能、焦虑抑郁情绪、生活日常活动能力及术后并发症的影响。方法:选择2022年8月~2024年8月于马鞍山十七冶医院心脏康复中心收治的PCI术后患者120例,随机分为对照组和研究组各60例,对照组给予常规护理,研究组在常规护理的基础上给予早期心脏康复护理,比较两组的心功能指标、日常生活能力及焦虑抑郁情绪评分、术后并发症。结论:两组患者护理后左心室舒张末期内径(LVEDD)均低于护理前,左心室射血分数(LVEF)、6 min步行距离均高于护理前。与对照组相比,研究组的LVEDD降低幅度更大,6 min步行距离增加幅度更大(P<0.05)。两组患者护理后日常生活活动量表(ADL)评分均高于护理前,广泛性焦虑障碍7项量表(GAD-7)、患者健康问卷抑郁量表(PHQ-9)评分均低于护理前。与对照组相比,研究组ADL评分增加幅度更大,GAD-7和PHQ-9评分降低幅度更大(P<0.05)。研究组PCI术后1个月的并发症发生率(0.05%)低于对照组(18.33%)(P<0.05)。结论:早期心脏康复护理有利于PCI术后患者心脏功能恢复,减轻焦虑抑郁情绪,提高患者的日常生活能力,减少并发症的发生,进而提高患者的生活质量。
Objective:To observe the effects of early cardiac rehabilitation nursing on cardiac function,anxiety and depression,activities of daily living,and postoperative complications in patients afteRpercutaneous coronary intervention(PCI).Methods:120 PCI patients were recruited from the cardiac rehabilitation centeRof Ma′anshan Shiqiye Hospital from August 2022 to August 2024,and equally randomized to a control group and an observational group.Patients in the control group received simple routine nursing care,and those in the observational group underwent additional early cardiac rehabilitation nursing on routine nursing care basis.The cardiac function indices,activities of daily living,anxiety and depression scores,and postoperative complications were compared between the two groups.Results:In both groups,the left ventriculaRend-diastolic diameteR(LVEDD)became lower,whereas the left ventriculaRejection fraction(LVEF)and 6-min walk distance were higheRafteRnursing.The observational group exhibited a greateRdecrease in LVEDD and a greateRincrease in 6-min walk distance compared to the control group(P<0.05).Similarly,the Activity of Daily Living(ADL)score afteRnursing was higheRthan that before nursing,and the Generalized Anxiety Disorder-7(GAD-7)and Patient Health Questionnaire-9(PHQ-9)scores were loweRthan those before nursing in both groups.The observational group showed a greateRincrease in ADL score and a greateRdecrease in GAD-7 and PHQ-9 scores compared to the control group(P<0.05).Additionally,the incidence rate of complications 1 month afteRPCI was significantly loweRin the experimental group than in the control group(0.05%vs.18.33%,P<0.05).Conclusion:Early cardiac rehabilitation nursing is beneficial to the recovery of cardiac function in patients afteRPCI,and can alleviate anxiety and depression,enhance patients′activities of daily living,reduce the occurrence of complications,and thereby improve patients′quality of life.
作者
王艳
鲁大胜
肖洁
丁美
WANG Yan;LU Dasheng;XIAO Jie;DING Mei(Department of Cardiology,Ma anshan Shiqiye Hospital,Maanshan 243000,Anhui,China)
出处
《皖南医学院学报》
2026年第1期86-90,共5页
Journal of Wannan Medical College
基金
芜湖市科技应用基础研究项目(2023jc23)。
关键词
急性心肌梗死
经皮冠状动脉介入治疗
早期心脏康复
心功能
acute myocardial infarction
percutaneous coronary intervention
early cardiac rehabilitation
cardiac function
