急性ST段抬高型心肌梗死患者急诊PCI术后I期心脏康复护理研究  

Study on phaseⅠ cardiac rehabilitation nursing for acute ST-segment elevation myocardial infarction patients after emergency PCI

作　　者：蹇祥玉[1] 路海云[1] 罗莹怡[1] 叶秀莲[1] 陈春棉[1] 黄日兰 

机构地区：[1]佛山市第二人民医院心脏中心,广东佛山528000

出　　处：《护理学杂志》2016年第23期1-4,共4页Journal of Nursing Science

基　　金：佛山市科技局基金立项项目(201308026);佛山市医学重点专科培育项目(Fspy3-2015020)

摘　　要：目的探讨I期心脏康复七步训练法用于急性ST段抬高型心肌梗死急诊PCI术后患者的效果。方法将100例急性ST段抬高型心肌梗死直接PCI术后患者随机分为观察组52例和对照组48例,对照组给予急性心肌梗死PCI术后常规护理,观察组在对照组的基础上实施I期心脏康复七步法护理。结果两组住院期间心律失常发生率比较,差异无统计学意义(均P>0.05),观察组CCU监护时间、住院时间显著短于对照组,PCI术后首次排便时间显著早于对照组(均P<0.01)。结论对急性ST段抬高型心肌梗死直接PCI术后患者实施个体化的I期心脏康复护理有利于缩短CCU监护时间及住院时间,预防便秘发生,促进患者安全。Objective To explore the effect of seven steps exercise for phaseⅠ cardiac rehabilitation on acute ST-segment elevation myocardial infarction patients after emergency PCI.Methods Totally 100 acute ST-segment elevation myocardial infarction patients directly after emergency PCI were randomized into an observation group with 52 cases and a control group with 48.The control group was given routine nursing for myocardial infarction patients after emergency PCI,while the observation group,received additional special nursing of seven steps exercise for phaseⅠcardiac rehabilitation.Results There was no significant difference in the incidence of arrhythmia between the two groups（P〉0.05）,while the CCU caring time and length of hospital stay in the observation group were significantly shorter than those in the control group,and the first defecation time after PCI was significantly earlier than the control group（P〈0.01 for all）.Conclusion Individualized phase Ⅰ cardiac rehabilitation nursing for acute ST-segment elevation myocardial infarction patients after direct PCI is conducive to shorten patients′CCU caring time as well as the length of hospital stay,and prevent constipation,then improve patients′safety.

关 键 词：急性心肌梗死 急诊 PCI泵功能 心脏康复 康复护理 

分 类 号：R473.5[医药卫生—护理学]