急性心肌梗死PCI术后患者住院期间运动康复的最佳证据应用  

Application of best evidence for exercise rehabilitation during hospitalization in patients with acute myocardial infarction after percutaneous coronary intervention

作　　者：郑贝贝 金建芬 俞梦盈 王超群 陈婷婷[1] 孙红娟 刘欣 宁丽 Zheng Beibei;Jin Jianfen;Yu Mengying;Wang Chaoqun;Chen Tingting;Sun Hongjuan;Liu Xin;Ning Li(Department of Cardiology,Affiliated Hangzhou First People's Hospital,Zhejiang University School of Medicine,Hangzhou 310006,China;Nursing Department,Affiliated Hangzhou First People's Hospital,Zhejiang University School of Medicine,Hangzhou 310006,China)

机构地区：[1]浙江大学医学院附属杭州市第一人民医院心血管内科,310006 [2]浙江大学医学院附属杭州市第一人民医院护理部,310006

出　　处：《中华现代护理杂志》2021年第11期1421-1427,共7页Chinese Journal of Modern Nursing

基　　金：杭州市医药卫生科技项目(OO20191154);浙江省医药卫生科技计划项目(2019KY125)。

摘　　要：目的将急性心肌梗死PCI术后患者住院期间运动康复的最佳证据应用于临床实践,以期规范医护人员对患者运动康复的管理,推动心脏康复实践。方法采用澳大利亚Joanna Briggs Institute(JBI)循证卫生保健中心临床证据实践应用系统,对主题相关文献进行系统检索、质量评价后,汇总20条最佳证据,结合临床情境制订了16条基于证据的质量审查标准。分别于2020年2月1日—3月30日和2020年5月1日—7月3日比较证据应用前后的护士审查指标执行情况、急性心肌梗死PCI术后患者心脏康复知识测试卷和心脏病患者运动恐惧量表得分。结果除指标1和指标2外,证据应用前后所有审查指标的执行率均提高,差异均有统计学意义(P<0.01)。证据应用后护士的心脏康复知识测试卷得分为(91.14±14.05)分,高于证据应用前的(80.00±10.41)分,差异有统计学意义(t=-2.682,P<0.05)。证据应用后患者的心脏病患者运动恐惧量表得分为(43.43±10.93)分,与证据应用前的(44.19±8.58)分比较,差异无统计学意义(t=0.280,P>0.05)。结论急性心肌梗死PCI术后患者住院期间运动康复的最佳证据应用能提高医护人员对患者运动康复的管理与认知,降低患者运动恐惧回避产生的影响。Objective To apply the best evidence of exercise rehabilitation during hospitalization for patients with acute myocardial infarction after percutaneous coronary intervention(PCI)in clinical practice,in order to standardize the management of exercise rehabilitation of patients by medical staff and promote the practice of cardiac rehabilitation.Methods By using the clinical evidence practice application system of Joanna Briggs Institute(JBI)Evidence-Based Health Care Center,the literatures related to the subject were systematically retrieved and quality evaluation was conducted.A total of 20 best evidences were collected,and 16 evidence-based quality review standards were developed in combination with the clinical context.The implementation of nurses'review indicators,the score of Cardiac Rehabilitation Knowledge Test and the score of Exercise Fear Scale before and after the application of evidence were compared respectively on the nurses and patients with acute myocardial infarction after PCI from February 1 to March 30,2020 and from May 1 to July 3,2020.Results Except for index 1 and index 2,the implementation rates of all review indexes before and after the application of evidence were all increased,and the differences were statistically significant(P<0.01).The score of Cardiac Rehabilitation Knowledge Test was(91.14±14.05)after the application of evidence,which was higher than(80.00±10.41)before the application of evidence,and the difference was statistically significant(t=-2.682,P<0.05).After the application of evidence,the score of Exercise Fear Scale for Patients with Heart Disease was(43.43±10.93),which was not statistically significantly different from the score(44.19±8.58)before the application of the evidence(t=0.280,P>0.05).Conclusions The application of the best evidence of exercise rehabilitation during hospitalization in patients with acute myocardial infarction after PCI can improve the management and cognition of medical staff on exercise rehabilitation of patients and reduce the influence of e

关 键 词：循证护理 急性心肌梗死 经皮冠状动脉介入治疗 运动康复 

分 类 号：R473.5[医药卫生—护理学]