移动电子设备在急性心梗PCI术后患者院内康复中的应用及效果  

Evaluation of the Effect of Electronic Mobile Devices on Improving the Postoperative Cardiac Rehabilitation of Patients with Acute Myocardial Infarction

作　　者：张晓艳[1] 许芸[1] 马威 张燕[1] ZHANG Xiao-yan;XU Yun;MA Wei;ZHANG Yan(Shenzhen Second People's Hospital,Guangdong Shenzhen 518035)

机构地区：[1]深圳市第二人民医院,广东深圳518035

出　　处：《深圳中西医结合杂志》2021年第15期10-13,共4页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

基　　金：深圳市科技计划项目资助课题(201103100)。

摘　　要：目的:探讨应用移动电子设备开展院内康复对急性心肌梗死(AMI)经皮冠脉介入治疗(PCI)术后患者疗效及生存质量的影响。方法:选取深圳市第二人民医院2017年3月至2019年2月期间收治的经PCI治疗的96例AMI患者,按照随机数表法分为对照组与观察组,各48例。对照组患者术后给予心内科常规护理,观察组患者术后应用移动电子设备开展院内心脏康复护理,比较两组患者干预前后左室射血分数(LVEF)、生存质量变化情况,并比较两组患者住院时间、住院费用及护理满意度。结果:干预前,两组患者的LVEF比较,差异无统计学意义(P>0.05);干预后,两组患者LVEF均显著上升,且观察组高于对照组,差异具有统计学意义(P<0.05);干预前,两组患者比较,差异无统计学意义(P>0.05);干预后两组患者生存质量评分均显著上升,且观察组高于对照组,差异具有统计学意义(P<0.05);观察组患者的住院时间短于对照组,住院费用低于对照组,差异具有统计学意义(P<0.05);观察组患者护理满意度为95.83 %(46/48),较对照组79.17 %(38/48)更高,差异有统计学意义(P<0.05)。结论:应用移动电子设备开展院内心脏康复可显著促进AMI患者PCI术后心功能恢复、身体康复,提高患者的生存质量与护理满意度,减轻其经济负担。Objective To evaluate the impacts of electronic mobile devices on postoperative therapeutic effect and quality of life of patients with acute myocardial infarction(AMI).Methods The total of 96 AMI patients who received the primary percutaneous coronary intervention(PCI)in our hospital(March 2017 to February 2019)were randomly divided into control group and observation group with 48 cases in each group.The conventional nursing care and cardiac rehabilitation care with the utilization of electronic mobile devices were implemented to two groups of patients,respectively.The left ventricular ejection fraction(LVEF),quality of life,the time and cost during hospitalization,as well as satisfaction rate of patients were compared between two groups.Results The basal LVEF and quality of life of patients were not significantly different between the two groups(P>0.05),both of which were significantly improved after nursing care.Of note,the LVEF and quality of life of patients who received cardiac rehabilitation care with the utilization of electronic mobile devices were significantly higher than that of control patients(P<0.05).Moreover,the patients in the observation group had less time and cost during hospitalization than that of control patients(P<0.05).Meanwhile,the satisfaction rate of patients was significantly increased by cardiac rehabilitation care(95.83%vs 79.17%for observation group vs.control group,P<0.05).Conclusions Cardiac rehabilitation care with the utilization of electronic mobile devices substantially improves cardiac function,quality of life,and satisfaction rate but reduces the economic burden of AMI patients after PCI surgery.

关 键 词：急性心肌梗死 经皮冠脉介入治疗术 移动电子设备 心脏康复护理 

分 类 号：R541[医药卫生—心血管疾病]