一对一指导七步法康复运动对急性心肌梗死PCI术后患者预后的影响  

Effect of One-to-one Guided Seven-step Rehabilitation Exercise on Prognosis of Patients with Acute Myocardial Infarction after PCI

作　　者：李洁峰[1] 何中华[1] 吴建平[1] 叶伟贤 张小农 LI Jiefeng;HE Zhonghua;WU Jianping;YE Weixian;ZHANG Xiaonong(Gaoming District People’s Hospital of Foshan City,Guangdong Province,Foshan 528500,China;不详)

机构地区：[1]广东省佛山市高明区人民医院,广东佛山528500

出　　处：《中国医学创新》2022年第25期98-103,共6页Medical Innovation of China

基　　金：佛山市卫生和计生局医学科研项目(20160338)。

摘　　要：目的:探讨一对一指导七步法康复运动对急性心肌梗死经皮冠状动脉介入治疗(PCI)术后患者预后的影响。方法:选取2020年6月-2021年8月佛山市高明区人民医院收治的120例急性心肌梗死患者,所有患者均行PCI,将其依据随机数字表法分为观察组与对照组,各60例。对照组患者实施常规护理与术后康复指导,观察组在对照组基础上增加一对一指导七步法康复运动。比较两组不良情绪、不良心血管事件发生情况和生活质量。结果:护理前,两组迷惑-混乱、愤怒-敌意、抑郁-沮丧、紧张-焦虑、疲乏-迟钝和精力-活动评分比较,差异均无统计学意义(P>0.05);护理后,两组迷惑-混乱、愤怒-敌意、抑郁-沮丧、紧张-焦虑和疲乏-迟钝评分均低于护理前,且观察组均低于对照组,而两组精力-活动评分均高于护理前,且观察组高于对照组,差异均有统计学意义(P<0.05)。观察组支架再狭窄、血运重建、心力衰竭发生率均低于对照组,差异均有统计学意义(P<0.05)。护理前,两组精神/宗教信仰、独立性、环境、社会关系、心理、生理及总的生活质量评分比较,差异均无统计学意义(P>0.05);护理后,两组精神/宗教信仰、独立性、环境、社会关系、心理、生理及总的生活质量评分均高于护理前,且观察组均高于对照组,差异均有统计学意义(P<0.05)。结论:对进行心肌梗死PCI介入术后使用一对一指导七步法康复运动能够进一步减轻患者术后不良情绪,减少不良心血管事件发生率,患者术后生活质量较高,对患者预后具有明显提升作用。Objective:To investigate the effect of one-to-one guided seven-step rehabilitation exercise on the prognosis of patients with acute myocardial infarction after percutaneous coronary intervention(PCI).Method:A total of 120 patients with acute myocardial infarction treated in Gaoming District People’s Hospital of Foshan City from June 2020 to August 2021 were selected,all patients underwent PCI intervention,they were divided into observation group and control group according to random number table method,with 60 cases in each group.The patients in the control group received routine nursing care and postoperative rehabilitation guidance,and the observation group received one-to-one guided seven-step rehabilitation exercise on the basis of the control group.The adverse mood,the occurrence of adverse cardiovascular events and quality of life were compared between two groups.Result:Before nursing,there were no significant differences in the scores of puzzle-confusion,anger-hostility,depression-depressed,tension-anxiety,fatigue-retardation and energy-activity between the two groups(P>0.05).After nursing,the scores of puzzle-confusion,anger-hostility,depression-depressed,tension-anxiety and fatigue-retardation in both groups were lower than those before nursing,and those in the observation group were lower than those in the control group,while the energy-activity scores in both groups were higher than those before nursing,and those in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The incidences of stent restenosis,revascularization and heart failure in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Before nursing,there were no significant differences in spiritual/religious belief,independence,environment,social relationship,psychological and physiological and overall quality of life scores between the two groups(P>0.05).After nursing,the spiritual/religious belief,independe

关 键 词：一对一指导 七步法康复运动 急性心肌梗死 

分 类 号：R473.5[医药卫生—护理学]