个性化健康教育结合居家自助式心脏康复对心肌梗死患者PCI术后康复的影响  

Effect of individualized health education combined with home-based self-help cardiac rehabilitation on the rehabilitation of myocardial infarction patients after PCI

作　　者：王玲[1] 冷丽丽 胡筱晶 王彦傧 李春霞[2] WANG Ling;LENG Lili;HU Xiaojing;WANG Yanbin;LI Chunxia(Coronary Care Unit,Qilu Hospital of Shandong University,Jinan,Shandong,250063,China;Department of Cardiac Surgery,Qilu Hospital of Shandong University,Jinan,Shandong,250063,China)

机构地区：[1]山东大学齐鲁医院CCU,山东济南250063 [2]山东大学齐鲁医院心外科,山东济南250063

出　　处：《中西医结合护理（中英文）》2022年第4期9-12,共4页Journal of Clinical Nursing in Practice

摘　　要：目的考察个性化健康教育结合居家自助式心脏康复对心肌梗死(MI)患者行经皮冠状动脉介入治疗(PCI)术后康复效果的影响。方法选取2020年6月至2021年6月于山东大学齐鲁医院行PCI术的102例MI患者作为研究对象,并将其根据干预方法的不同分为对照组(51例)和观察组(51例)。对照组给予优质健康教育结合心脏康复指导,观察组给予个性化健康教育结合居家自助式心脏康复。比较2组的心功能指标、自我管理能力、6分钟步行距离(6MWD)、日常生活能力(ADL)及主要心血管不良事件(MACE)发生率。结果与干预前相比,2组在干预6个月后的左室射血分数(LVEF)均升高,左室舒张末期内径(LVEDD)和左室收缩末期内径(LVESD)均变小(P均<0.05);2组在干预6个月后的冠心病自我管理量表(CSMS)各维度评分、ADL评分均升高,6MWD均变长(P均<0.05);相比于对照组,观察组的上述指标均更优(P均<0.05)。干预期间,观察组的MACE总发生率低于对照组(P<0.05)。结论个性化健康教育结合居家自助式心脏康复可改善MI患者PCI术后的心功能,提高其日常生活能力和自我管理能力,降低术后MACE的发生率。Objective To investigate the effect of individualized health education combined with home-based self-help cardiac rehabilitation on the rehabilitation of myocardial infarction(MI)patients after percutaneous coronary intervention(PCI).Methods A total of 102 MI patients who underwent PCI at Qilu Hospital of Shandong University from June 2020 to June 2021 were enrolled.They were assigned to a control group(51 cases)and an observation group(51 cases)according to different intervention methods.The control group was given high-quality health education combined with cardiac rehabilitation,and the observation group was given individualized health education combined with home-based self-help cardiac rehabilitation.The cardiac function indicators,self-management ability,6-min walk distance(6MWD),activities of daily living(ADL),and incidence of major adverse cardiovascular events(MACEs)were compared between the two groups.Results Compared with those before the intervention,the left ventricular ejection fraction(LVEF)in both groups were increased,and the left ventricular end-diastolic diameter(LVEDD)and left ventricular end-systolic diameter(LVESD)were decreased after 6 months of intervention(all P<0.05).The Coronary Heart Disease Self-Management Scale(CSMS)and ADL scores in both groups were increased,and the 6MWD was longer after 6 months of intervention(all P<0.05).Compared with the control group,the above indicators in the observation group were better(all P<0.05).During the intervention,the total incidence of MACEs in the observation group was lower than that in the control group(P<0.05).Conclusion Individualized health education combined with home-based self-help cardiac rehabilitation can improve the cardiac function,activities of daily living,and self-management ability of MI patients after PCI,and reduce the incidence of postoperative MACEs.

关 键 词：心肌梗死 经皮冠状动脉介入治疗 个性化健康教育 居家自助式心脏康复 心功能 

分 类 号：R473.5[医药卫生—护理学]