云在线终端康复指导在急性心肌梗死经皮冠脉介入术后患者中的应用效果  

Application effect of cloud online terminal rehabilitation guidance in patients with acute myocardial infarction after percutaneous coronary intervention

作　　者：潘丽娟 董焕英[1] PAN Lijuan;DONG Huanying(Cardiovascular Center,Beijing Tongren Hospital,Capital Medical University,Beijing100018,China)

机构地区：[1]首都医科大学附属北京同仁医院心血管中心,北京100018

出　　处：《中国医药导报》2023年第6期165-168,共4页China Medical Herald

摘　　要：目的探讨云在线终端康复指导在急性心肌梗死经皮冠脉介入术(PCI)后患者中的应用效果。方法选取2020年6月至2021年6月在首都医科大学附属北京同仁医院治疗的200例急性心肌梗死PCI后患者作为研究对象,按照随机数字表法将其分为试验组(100例)和对照组(100例)。对照组采用常规术后指导,试验组采用云在线终端康复指导。比较两组干预前及干预3个月后的心脏功能指标、冠心病自我管理行为量表评分。比较两组干预前及干预3、6个月后6 min步行距离。记录两组干预中不良事件发生情况及再住院情况。结果干预3个月后,两组心排血量、左室射血分数(LVEF)、左心室舒张末期内径(LVEDD)均高于干预前,平均动脉压(MAP)、心率低于干预前,且试验组心排血量、LVEF、LVEDD高于对照组,MAP低于对照组(P<0.05)。两组干预3、6个月后的6 min步行距离高于干预前,干预6个月后高于干预后3个月,试验组干预3、6个月后的6 min步行距离均高于同期对照组(P<0.05)。干预3个月后,两组日常生活、社会情感、医学疾病管理行为得分及总分均高于干预前,且试验组高于对照组(P<0.05)。试验组不良事件总发生率、再住院率均低于对照组(P<0.05)。结论采用云在线终端康复指导对急性心肌梗死PCI后患者的康复管理能明显改善患者的心脏功能和运动耐力,提高其自我管理能力,安全性高。Objective To explore the application effect of cloud online terminal rehabilitation guidance on patients with acute myocardial infarction after percutaneous coronary intervention(PCI).Methods A total of 200 patients with acute myocardial infarction after PCI in Beijing Tongren Hospital,Capital Medical University from June 2020 to June 2021 were selected as research objects,and they were divided into experimental group(100 cases)and control group(100 cases)according to random number table method.Cardiac function indexes and score of coronary heart disease self-management behavior scale were compared between the two groups before intervention and after three months of intervention.The 6-minute walking distance before intervention and after three,six months of intervention were compared between the two groups.The occurrence of adverse events and re-hospitalization in the two groups were recorded.Results After three months of intervention,cardiac output,left ventricular ejection fraction(LVEF),left ventricular end-diastolic inner diameter(LVEDD),in both groups were higher than those before intervention,while mean arterial pressure(MAP)and heart rate was lower than that before intervention,the cardiac output,LVEF,and LVEDD of the experimental group were higher than those of the control group,while the MAP was lower than that of the control group(P<0.05).The 6-minute walking distance of the two groups after three and six months of intervention was higher than that before intervention,and that of after six months of intervention was higher than that of three months after intervention,the 6-minute walking distance of the experimental group at after of three and six months intervention was higher than that of the control group at the same time points(P<0.05).After three months of intervention,the scores of daily life,social emotion,medical disease management behavior,and total scores in both groups were higher than those before intervention,and the experimental group were higher than the control group(P<0.05).The total in

关 键 词：急性心肌梗死 经皮冠脉介入术 云在线终端康复指导 

分 类 号：R473[医药卫生—护理学]