运用AMI-RISK评分指导急性心肌梗死患者早期活动  

Early physical activity guidance using AMI-RISK score for patients with acute myocardial infarction

作　　者：王琴[1] 田金萍[1] 孙国珍[1] 沈莹[2] 王连生[1] 卢新政[1] 李春坚[1] 杨志健[1] 孙红梅[1] 刘文娟[2] 孙红侠[2] 

机构地区：[1]南京医科大学第一附属医院心血管科,江苏南京210029 [2]徐州市中心医院

出　　处：《护理学杂志》2016年第23期12-14,共3页Journal of Nursing Science

基　　金：卫生部临床重点专科建设项目资助;南京医科大学第一附属医院护理新技术;新项目(2012003HL)

摘　　要：目的提高急性心肌梗死(AMI)患者住院后活动效果和安全性。方法将213例AMI患者随机分为两组,对照组101例按常规活动护理,观察组112例采用AMI患者活动护理分级评估量表(AMI-RISK)评分,根据评分指导患者活动。结果观察组卧床时间,住院时间显著短于对照组,活动受限相关并发症发生率显著低于对照组(P<0.05,P<0.01)。结论在AMI-RISK评分指导下对AMI患者实施活动护理可缩短卧床时间和住院时间,减少活动受限相关并发症的发生。Objective To improve the activity effect and safety for inpatients with acute myocardial infarction（AMI）.Methods Totally213 inpatints with AMI were randomized into two groups,a control group with 101 patients received routine activity nursing,and another 112 patients in an observation group were assessed using a risk scoring system for AMI patients（AMI-RISK）,then they were guided to exercise according to the assessment score.Results The time of bed rest and length of hospital stay of the observation group were significantly shorter than those in the control group,and the incidence of activity limitation related complications was significantly lower than the control group（P〈0.05,P〈0.01）.Conclusion Exercise and nursing guided by the AMI-RISK score for patients with AMI could shorten the time of bed rest and length of hospital stay,and decrease the incidence of activity limitation related complications.

关 键 词：急性心肌梗死 AMI-RISK评分表 活动 临床研究 

分 类 号：R473.5[医药卫生—护理学]