早期康复护理措施在急性心肌梗死介入治疗中的应用效果  

Nursing effect of early rehabilitation nursing intervention for patients with acute myocardial infarction

作　　者：冯明华[1] 罗琳[1] 杨彦[1] 秦容[1] 

机构地区：[1]四川大学华西医院心内科,四川成都610000

出　　处：《实用临床医药杂志》2017年第22期4-6,共3页Journal of Clinical Medicine in Practice

基　　金：四川省卫生厅科研课题(20130245)

摘　　要：目的探讨早期康复护理措施对急性心肌梗死介入治疗的护理效果。方法选取急性心肌梗死患者90例采用随机数表法分为2组,观察组45例接受早期康复护理措施干预,对照组45例接受常规护理措施干预,比较2组患者护理后临床症状改善情况、SAS评分、SDS评分以及腰背疼痛改善情况、并发症发生率。结果护理后,2组患者头晕、腿软、心悸以及腹胀等临床症状都有所改善,且观察组优于对照组(P<0.05);护理后,2组SAS评分、SDS评分均降低,且观察组低于对照组(P<0.05);护理后,观察组尿潴留、穿刺部位血肿、心律失常以及心绞痛的发生率低于对照组(P<0.05);护理后,2组患者的腰背疼痛评分均下降,且观察组低于对照组(P<0.05)。结论对急性心肌梗死患者实施早期康复护理措施干预,能够有效改善患者临床症状和心理状况,效果显著。Objective To investigate the effect of early rehabilitation nursing interventionfor the treatment of acute myocardial infarction. Methods A total of 90 patients with acute myocar-dial infarction treated in our hospital were randomly divided into two groups , 45 cases in tion group were given early rehabilitation nursing intervention , and another 45 cases in the controlgroup were given routine nursing intervention measures , the improvement of clinical symptoms , SAS score , SDS score , improvement of back pain and postoperative complications after nursing were com-pared . Results After nursing intervention , dizziness , leg soft , palpitations and other symptoms of abdominal distention were improved , and the observation group was better than the control group（P 〈0. 05） ; After nursing intervention , SAS score and SDS score were decreased , and the observa-tion group was lower than the control group （ P 〈 0. 05 ） ; After nursing intervention , group had lower complication incidence of urinary retention , puncture site hematoma , arrhythmia and angina than the control group （ P 〈 0. 05 ） ; After nursing intervention , low back pain scores was de-creased in both groups and the observation group was lower than control group （ P 〈 0. 05 ） . Conclu-sion Early rehabilitation nursing intervention for patients with acute myocardial infarction can effec-tively improve the clinical symptoms of patients , help patients maintain a healthy psychological state , so the effect is significant.

关 键 词：早期康复护理 急性心肌梗死 腰背疼痛 介入治疗 

分 类 号：R473.5[医药卫生—护理学]