居家自助式心脏康复方案在急性冠脉综合征行经皮冠状动脉介入术术后出院患者中的应用  

Application of Home-based Self-service Cardiac Rehabilitation in Patients with Acute Coronary Syndrome after PCI

作　　者：冷敏[1] 荣山伟 曹国荣 张艳[2] 周小燕 李姗[1] LENG Min;RONG Shanwei;CAO Guorong;ZHANG Yan;ZHOU Xiaoyan;LI Shan(Department of Cardiology,The Affiliated Hospital of Qingdao University,Qingdao 266555,Shandong Province,China;Nursing Department,The Affiliated Hospital of Qingdao University)

机构地区：[1]青岛大学附属医院心血管内科,山东青岛266555 [2]青岛大学附属医院护理部

出　　处：《解放军护理杂志》2019年第1期47-50,共4页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨居家自助式心脏康复方案在行经皮冠状动脉介入术(percutaneous coronary intervention,PCI)的急性冠脉综合征(acute coronary syndrome,ACS)患者康复中的应用效果。方法 2016年5月至2017年5月,便利抽样法选取在青岛大学附属医院行PCI术后的出院ACS患者110例研究对象。按出院先后将两组患者分为对照组(2016年5-11月)和观察组(2016年12月至2017年5月),对照组患者只接受常规院外指导,观察组患者在对照组的基础上进行自助式心脏康复。患者出院前、出院1年后评价其康复效果,主要包括危险因素的控制水平、自我效能及再入院率。结果出院前,两组患者各项危险因素水平及一般自我效能感评分的差异均无统计学意义(均P>0.05);出院1年后,观察组患者除舒张压、总胆固醇、低密度脂蛋白等危险因素水平与对照组患者相比无统计学意义(均P>0.05)外,其他各项危险因素均优于对照组患者,且一般自我效能感评分高于对照组,差异均有统计学意义(均P<0.05);两组患者在再入院率上的差异有统计学意义(P<0.05)。结论居家自助式心脏康复方案对PCI术后出院ACS患者的心脏康复能够起到积极作用。Objective To explore the effect of a self-service cardiac rehabilitation program in patients with acute coronary syndrome(ACS)after percutaneous coronary intervention(PCI).Methods A total of 110 patients with ACS who underwent PCI from May 2016 to May 2017 in the hospital were selected by convenience sampling method.Random number table method was used to divide patients into two groups,a control group(from May to November 2016)and an observation group(from December 2016 to May2017).The patients in the control group received only routine out-of-hospital guidance,while the patients in the observation group received the self-service cardiac rehabilitation on the basis of the control group.The rehabilitation effects of the two groups were evaluated at discharge and 1-year post discharge.Results Before discharge,there was no significant difference in each risk factor and general self-efficacy scores between the two groups(all P>0.05).One year after discharge,the risk factors of diastolic blood pressure,total cholesterol and low-density lipoprotein in the observation group were not significantly different from those in the control group(all P>0.05).The other risk factors were better than those in the control group,and the general self-efficacy score was higher than that in the control group,the difference was statistically significant(all P<0.05).Conclusions A home-based cardiac rehabilitation program can play apositive role in the cardiac rehabilitation of ACS patients after PCI.

关 键 词：急性冠脉综合征 心脏康复 经皮冠状动脉介入术 

分 类 号：R473.54[医药卫生—护理学]