心脏专科护理干预对老年急性心肌梗死患者再梗死二级预防的临床效果研究  

Clinical study on special cardiac nursing in secondary prevention for acute myocardial infarction in the elderly patients

作　　者：徐忠琴[1] 龚凤琴 龚金龙[1] 

机构地区：[1]江都人民医院心脏内科,江苏省扬州市225200

出　　处：《实用老年医学》2015年第12期1048-1050,共3页Practical Geriatrics

摘　　要：目的探讨心脏专科护理干预对提高老年急性心肌梗死患者二级预防达标率的影响。方法本院心脏科>60岁的65例急性心肌梗死患者,分为干预组和对照组,干预组由心脏专科护师于出院前、出院后1周、2周、6周及3月进行护理干预;对照组予常规随访。收集患者出院前和出院后3月的临床资料,比较2组患者血压、低密度脂蛋白胆固醇、糖化血红蛋白达标率,吸烟率、运动锻炼率和体质量指数以及抗血小板、他汀类、β-受体阻滞剂、血管紧张素转换酶抑制剂药物使用率。结果心脏专科护理干预能够明显提高下列指标达标率:血压(OR=14.78),糖尿病患者糖化血红蛋白<7%(OR=9.63),1周5天运动率(OR=17.05),心脏康复参加率(OR=7.43)。结论心脏专科护理干预能够明显提高急性心肌梗死患者二级预防各项指标的达标率。Objective To evaluate the effects of special cardiac nursing in improving the control rate of secondary prevention for acute myocardial infarction in the elderly patients. Methods Sixty-five elderly patients with acute myocardial infarction were divided into intervention group and control group. The intervention group received special cardiac nursing before discharge from hospital and one week,two weeks,six weeks and 3 months after discharge. The control group received routine follow-up. The clinical data of the patients before discharge from hospital and 3 months after discharge were analyzed and compared between both groups. Results Special cardiac nursing can significantly improve the control rate of the index,such as blood pressure（ OR = 14. 78）,attendance at cardiac rehabilitation（ OR = 7. 43）,taking part in exercise five days a week（ OR = 17. 05）,achieving a glycatedhaemoglobin 〈 7% in those with diabetes（ OR = 9. 63）.Conclusions Special cardiac nursing can significantly improve the control rate of secondary prevention for acute myocardial infarction in the elderly patients.

关 键 词：急性心肌梗死 专科护理 二级预防 危险因素 

分 类 号：R473.54[医药卫生—护理学]