整体护理对心肌梗死患者心脏康复及生活质量的影响  

Effect of Holistic Nursing on Cardiac Rehabilitation and Quality of Life in Patients with Myocardial Infarction

作　　者：杨海荣 YANG Hairong(Department of Cardiology,Fukuang General Hospital,Liaoning Health Industry Group,Fushun 113000,China)

机构地区：[1]辽宁省健康产业集团抚矿总医院心内科,辽宁抚顺113000

出　　处：《中国医药指南》2023年第12期154-156,共3页Guide of China Medicine

摘　　要：目的分析心肌梗死疾病特点,评价配合整体护理干预对患者心脏康复、生活质量等方面的影响。方法选择我院2019年9月至2020年9月收治的心肌梗死患者,总计120例。予以患者经皮冠状动脉介入(percutaneous coronary intervention,PCI)治疗,采取随机数字表法分组护理。对照组采取常规护理,观察组辅助整体护理干预,比较两组患者的左心室射血分数(left ventricular ejection fraction,LVEF)左室收缩末期内径(left ventricular end systolic diameter,LVESD)、左室舒张末期内径(left ventricular end diastolic diameter,LVEDD)心功能水平以及生活质量[以健康调查简表(The MOS Item Short from Health Survey,SF-36)评估患者的生活质量]。结果护理干预后,观察组的心功能指标LEVF明显高于对照组,LVESD明显低于对照组,LVEDD明显低于对照组,均P<0.05。护理干预后,观察组的生活质量评分认知职能、社会职能、心理健康、情绪职能、角色职能、生理职能评分均明显高于对照组,均P<0.05。结论整体护理用于PCI术治疗的心肌梗死患者中,助于改善患者的心功能、生活质量,促进患者康复。Objective To analyze the characteristics of myocardial infarction disease,and to evaluate the effects of holistic nursing intervention on patients'cardiac rehabilitation and quality of life.Methods A total of 120 patients with myocardial infarction admitted to our hospital from September 2019 to September 2020 were selected.The patients were treated with percutaneous coronary intervention(PCI),and a random number table was used for group care.The control group took routine care,and the observation group assisted with holistic nursing intervention.The left ventricular ejection fraction(LVEF)and left ventricular end systolic diameter(LVESD)and left ventricular end diastolic diameter,(LVEDD)cardiac function level and quality of life[the health survey short form(The MOS Item Short from Health Survey,SF-36)assesses the patient's quality of life]of the two groups were compared.Results After nursing intervention,the cardiac function index LEVF in the observation group was significantly higher than that in the control group,and LVESD was significantly lower in the control group,LVEDD was significantly lower than that in the control group,P<0.05.After nursing intervention,the quality of life scores of the observation group were cognitive function,social function,mental health,emotional function,role functions,physiological function scores were significantly higher than those of the control group,P<0.05.Conclusion Holistic care for patients with myocardial infarction treated by PCI can help improve the patient's cardiac function,quality of life,and promote patient recovery.

关 键 词：PCI术 整体护理干预 心肌梗死 心功能水平 生活质量 

分 类 号：R473[医药卫生—护理学] R542.2[医药卫生—临床医学]