老年急性心肌梗死患者早期康复护理干预的效果分析  

Effect of nursing intervention on early rehabilitation of elderly patients with acute myocardial infarction

作　　者：李艳敏[1] 牛敬雪[2] 

机构地区：[1]解放军总医院南楼临床部心血管一科监护室,北京100853 [2]中国康复研究中心护理部,北京100068

出　　处：《武警医学》2013年第4期340-342,共3页Medical Journal of the Chinese People's Armed Police Force

摘　　要：目的观察早期康复护理方法对老年急性心肌梗死(acute myocardial infarction,AMI)患者的疗效。方法选择106例老年AMI患者,其中康复组53例实施早期康复护理方法,对照组53例接受传统护理方法。比较两组的平均住院日、不良症状的发生及焦虑的程度。结果康复组心绞痛的发生率明显低于对照组(P<0.05);康复组治疗后焦虑程度较治疗前明显减轻。两组比较,康复组不良症状发生、焦虑程度改善以及住院天数等方面均明显优于对照组。结论早期康复护理干预对老年急性AMI患者效果肯定,可以明显降低心绞痛的发生率,减少不良事件发生,减轻焦虑的程度,缩短住院时间。Objective To study the nursing intervention effect on early rehabilitation of elderly patients with acute myocardial infarction （AMI） . Methods 106 elderly patients with myocardial infarction were recouited. Of them,53 patients shared early reha- bilitation nursing, and the other 53 received conventional care. The average length of stay in hospital, incidence rate of adverse clinical events and anxiety level were compared between the two groups. Results The incidence rate of angina in rehabilitation group was sig- nificantly lower than that in the control group （ P 〈 0.05 ）. The anxiety level of rehabilitation group significantly reduced after treatment than before. In rehabilitation group, less adverse symptoms occurred; the anxiety improvement and length of hospital stay were signifi- cantly better than those in the control group. Conclusions Early rehabilitation nursing care for elderly patients with AMI is effective and significantly reduces the incidence of angina and reduce adverse events, reduces the degree of anxiety and shortens hospital stay.

关 键 词：急性心肌梗死 心脏康复 护理干预 疗效 

分 类 号：R473.5[医药卫生—护理学]