自助式心脏康复对急性心肌梗死介入治疗患者的影响研究  

Study on effect of self-help cardiac rehabilitation on patients with acute myocardial infarction undergoing interventional therapy

作　　者：普春云 方琴[1] 吴建梅 PU Chunyun;FANG Qin;WU Jianmei(Department of Cardiovascular Medicine,First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院心血管内科

出　　处：《现代医药卫生》2020年第2期180-183,187,共5页Journal of Modern Medicine & Health

摘　　要：目的探讨急性心肌梗死介入治疗患者采用自助式心脏康复指导的效果。方法选取2017年9月至2018年3月该院收治的急性心肌梗死介入治疗患者96例作为研究对象,采用分段随机分组的方法分为对照组和研究组,每组48例。对照组进行常规性健康指导,研究组在常规性健康指导基础上增加自助式心脏康复指导。比较2组患者康复指导的效果。结果与对照组比较,研究组患者出院后12周可逆性危险因子中的低密度脂蛋白、胆固醇、空腹血糖、心率、体重指数均控制较好,不良生活方式如吸烟、运动缺乏均得到改善,服药依从性更优,心绞痛发作次数明显减少。结论自助式心脏康复指导对急性心肌梗死介入治疗患者的心脏康复具有积极作用,简便易行,值得在临床护理中推广使用。Objective To explore the effect of adopting the self-help cardiac rehabilitation guidance for the patients with acute myocardial infarction(AMI)undergoing interventional therapy.Methods Ninety-six patients with AMI treated by interventional therapy in the hospital from September 2017 to March 2018 were selected and divided into the control group and study group by adopting the stage random sampling method,48 cases in each group.The control group conducted the routine health guidance,while the study group were added with the self-help cardiac rehabilitation guidance on the basis of the routine health guidance.The rehabilitation guidance effects were compared between the two groups.Results Compared with the control group,the reversible risk factors such as low density lipoprotein(LDL),cholesterol,fasting blood glucose,heart rate and body mass index(BMI)were well controlled within 12 weeks after discharge in the study group,and the poor lifestyles such as smoking and lack of exercise were improved.The medication compliance was better than that of the control group,and the onset times of angina pectoris were significantly decreased.Conclusion The self-help cardiac rehabilitation guidance has a positive effect on the cardiac rehabilitation of the patients with AMI treated by interventional therapy,it is simple and easy to use,and is worth popularizing and using in clinical nursing.

关 键 词：心肌梗死 经皮冠状动脉介入治疗 康复护理 病人再入院 

分 类 号：R473.5[医药卫生—护理学] R493[医药卫生—临床医学]