医院-社区模式康复护理对急性心肌梗死患者PCI术后炎症因子和生活质量的影响  

Effect of Hospital-community Rehabilitation on Inflammatory Factors and Quality of Life in Patients with AMI after PCI

作　　者：陈玲玲[1] 杨柳 张雨馨[1] 方侃[1] Chen Lingling;Yang Liu;Zhang Yuxin(Taihe Hospital Affiliated to Hubei Medical College,Shiyan Hubei 442000,China)

机构地区：[1]湖北医药学院附属太和医院,湖北十堰442000

出　　处：《齐鲁护理杂志》2018年第19期24-27,共4页Journal of Qilu Nursing

基　　金：湖北医药学院2015年教学研究重点项目(编号:2015026)

摘　　要：目的:探讨医院-社区模式(H-CM)康复护理对急性心肌梗死(AMI)患者经皮冠状动脉介入治疗(PCI)术后血清炎症因子和生活质量的影响。方法:按照随机数字表法将120例AMI患者随机分为对照组和观察组各60例,对照组实施常规出院指导,观察组在此基础上实施H-CM康复护理。采用西雅图心绞痛调查量表(SAQ)和生活质量测定量表(QLS)检测两组机体功能与生活状态,并比较两组不同护理干预前后血清高敏C反应蛋白(Hs-CRP)与白介素-18(IL-18)以及SAQ评分与QLS评分。结果:出院6个月时,观察组血清Hs-CRP、IL-18水平低于对照组(P <0. 01);观察组SAQ、QLS各维度评分及总分均高于对照组(P <0. 01)。结论:对AMI患者PCI术后实施医院-社区模式康复护理,可以帮助患者建立健康的行为习惯和生活方式,控制或减缓疾病发展,从而提高患者机体功能状态及生活质量。Objective To explore the effect of hospitalcommunity rehabilitation nursing on serum inflammatory factors and quality of lifein patients with acute myocardial infarction（ AMI） after percutaneous coronary intervention（ PCI） . Methods： According to the random number table method, a total of 120 patients with AMI were randomly divided into control group and observation group, 60 cases in each group.The control group was given routine discharge guidance, and the observation group implemented HCM rehabilitation nursing on this basis.Seattle Angina Pectoris Questionnaire（ SAQ） and Quality of Life Scale（ QLS） were used to examine the body function and life status of thetwo groups. The serum levels of highsensitivity Creactive protein（ HsCRP） , interleukin18（ IL18） , SAQ and QLS scores were comparedbefore and after different nursing interventions. Results： The levels of serum HsCRP and IL18 in the observation group were lower thanthose in the control group at 6 months after discharge（ P 〈 0. 01） , the scores of SAQ and QLS in the observation group were higher thanthose in the control group（ P 〈 0. 01） . Conclusion： The implementation of hospitalcommunity model rehabilitation care after PCI in patients with AMI can help patients establish healthy behaviors and lifestyles, control or slow down the development of the disease, therebyimproving the patient′s functional status and quality of life.

关 键 词：急性心肌梗死 经皮冠状动脉介入治疗 社区康复 机体功能 生活质量 炎症因子 

分 类 号：R473.54[医药卫生—护理学]