急救护理路径配合术后康复锻炼对AMI患者PCI效果的影响  

Influence of emergency nursing pathway and postoperative rehabilitation exercise on effect of PCI aor patients with AMI

作　　者：张朝霞[1] 周富敏 魏延芹 Zhang Zhaoxia;Zhou Fumin;Wei Yanqin(Department of Cardiology, Dezhou People's Hospital, Dezhou 253104, China;Department of medicine, Dezhou Second People's Hospital, Dezhou 253000,China;Department of gynecology,Dezhou people's Hospital,Dezhou 253104,China)

机构地区：[1]德州市人民医院心内科,253104 [2]德州市第二人民医院内科,253000 [3]德州市人民医院妇产科,253104

出　　处：《国际医药卫生导报》2019年第10期1641-1644,共4页International Medicine and Health Guidance News

摘　　要：目的探究急救护理路径(ECP)配合术后康复锻炼对急性心肌梗死(AMI)患者冠状动脉介入术(PCI)效果及预后的影响。方法 选取2016年1月至2018年1月本院收治的124例行PCI的AMI患者作为研究对象,按其干预方法分为两组,各62例。对照组行常规急诊护理干预,观察组行ECP配合术后康复锻炼护理干预,比较两组AMI患者时间指标,不良事件发生情况,心功能指标[左室射血分数(LVEF)、左室舒张末期容积指数(LVEDVI)、左室收缩末期容积指数(LVESVI)],临床护理满意度。结果 观察组抢救时间、疼痛缓解时间、卧床时间、住院时间分别为(40.44±11.33)min、(59.82±5.89)min、(43.67±5.38)h、(8.41±1.01)d,均低于对照组,差异均有统计学意义(均P<0.05);观察组不良事件发生率6.45%,低于对照组19.35%,差异有统计学意义(P<0.05);两组患者T2期LVEF均显著高于T1期,T2期LVEDVI、LVESVI均显著低于T1期,差异均有统计学意义(均P<0.05);观察组T2期LVEF心功能指标(53.18±3.30)%,高于对照组,LVEDVI、LVESVI水平(72.21±4.82)ml/m2、(33.34±2.91)ml/m2,均低于对照组,差异均有统计学意义(均P<0.05);观察组临床护理总满意度95.16%,高于对照组69.35%,差异有统计学意义(P<0.05)。结论 对行PCI的AMI患者进行ECP配合术后康复锻炼的护理干预,可显著减少介入术和住院时间、促进术后恢复、减少术后不良事件发生率,并可显著改善心功能,促进预后,提高护理满意度,值得临床推广使用。Objective To explore the effect of emergency nursing pathway (ECP) combined with postoperative rehabilitation exercise on PCI and prognosis of patients with AMI. Methods A retrospective study of 124 patients with PCI who underwent PCI at our hospital from January, 2016 to January, 2018 was divided into a control group and an observation gorup according to their intervention methods, 62 for each group. The control group underwent routine emergency nursing intervention. The observation group underwent ECP and postoperative rehabilitation exercise nursing intervention. The time indicators, the incidence of adverse events, cardiac function indicators [LVEF, LVEDVI, and LVESVI], and clinical nursing satisfaction were compared between these two group. Results The rescue time, pain relief time, bed time, and hospital stay were (40.44±11.33) min,(59.82±5.89) min,(43.67±5.38) h, and (8.41±1.01) d in the observation group, which were significantly shorter than those in the control group (all P < 0.05). The overall incidence of adverse events was was significantly lower in the observation group than in the control group (6.45% vs. 19.35%, P < 0.05). The LVEF was significantly higher and LVEDVI and LVESVI were significantly lower in stage T2 than those in stage T1 in both groups (all P<0.05). In stage T2, the LVEF, LVEDVI, and LVESVI were (53.18±3.30)%,(72.21±4.82) ml/m2, and (33.34±2.91) ml/m2 in the observation group, which were better than those in the control group (all P < 0.05). The total satisfaction to clinical nursing was significantly higher in the observation group than in the control group (95.16% vs. 69.35%, P < 0.05). Conclusion The nursing intervention of ECP combined with postoperative rehabilitation exercise for patients with AMI undergoing PCI can significantly reduce the intervention time and hospital stay, promote postoperative recovery, reduce the incidence of postoperative adverse events, and significantly improve their cardiac function, prognosis, and care satisfaction, so it is worth for clinic

关 键 词：急救护理路径 术后康复锻炼 AMI PCI 效果 预后 

分 类 号：R473.5[医药卫生—护理学]