循证护理联合早期心脏康复运动护理在急性心肌梗死中的应用效果  

Efficacy of Evidence-Based Nursing Combined with Early Cardiac Rehabilitation Nursing in Acute Myocardial Infarction

作　　者：张巧玲 王艳芳 ZHANG Qiaoing;WANG Yanfang(Department of Cardiology I,Xuchang People's Hospital,Xuchang Henan 461000,China;Department of Gynecology,Xuchang People's Hospital,Xuchang Henan 461000,China)

机构地区：[1]许昌市人民医院心血管内一科,河南许昌461000 [2]许昌市人民医院妇科,河南许昌461000

出　　处：《临床研究》2025年第2期167-170,共4页Clinical Research

摘　　要：目的探究循证护理联合早期心脏康复运动护理在急性心肌梗死中的应用效果。方法选择2021年4月至2023年4月在许昌市人民医院治疗的98例急性心肌梗死患者,应用随机数表法将其分为对照组(常规护理)及观察组(循证护理联合早期心脏康复运动)各49例,比较两组临床指标(卧床时间、住院时间)、心功能[左心室射血分数(LVEF)、左心室收缩末期内径(LVESD)、左心室舒张末期内径(LVEDD)]、康复效果[6 min步行试验(6MWT)、日常生活能力(ADL)]、心理状态评分[简明心境量表(BPOMS)、心理弹性量表(CD-RISC)]、不良事件发生率。结果观察组卧床时间、住院时间短于对照组,差异有统计学意义(P<0.05)。护理后,两组LVEF水平高于护理前,LVESD、LVEDD水平低于护理前,且观察组LVEF水平高于对照组,LVESD、LVEDD水平低于对照组,差异有统计学意义(P<0.05)。护理后,两组6MWT、ADL水平高于护理前,且观察组6MWT、ADL评分高于对照组,差异有统计学意义(P<0.05)。护理后,两组BPOMS评分低于护理前,CD-RISC评分高于护理前,且观察组BPOMS评分低于对照组,CD-RISC评分高于对照组,差异有统计学意义(P<0.05)。观察组不良事件发生率低于对照组,差异有统计学意义(P<0.05)。结论急性心肌梗死患者接受循证护理联合早期心脏康复护理,可提升患者心功能,改善其心理状态,降低不良事件发生率,促进患者康复。Objective To explore the effects of evidence-based nursing combined with early cardiac rehabilitation exercise nursing in patients with acute myocardial infarction.Methods A total of 98 patients with acute myocardial infarction treated at Xuchang People's Hospital from April 2021 to April 2023 were selected for the study.Using a random number table method,they were divided into a control group(49 cases,receiving conventional nursing)and an observation group(49 cases,receiving evidence-based nursing combined with early cardiac rehabilitation exercise).Clinical indicators(bed rest time and hospitalization time),cardiac function[left ventricular ejection fraction(LVEF),left ventricular end-systolic diameter(LVESD),left ventricular end-diastolic diameter(LVEDD)],rehabilitation outcomes[6-minute walk test(6MWT)and activities of daily living(ADL)],psychological state scores[Brief Profile of Mood States(BPOMS)and Connor-Davidson Resilience Scale(CD-RISC)],and incidence of adverse events were compared between the two groups.Results The observation group had significantly shorter bed rest time and hospitalization time compared to the control group(P<0.05).After nursing care,LVEF levels in both groups increased,while LVESD and LVEDD levels decreased compared to before care;the observation group had higher LVEF and lower LVESD and LVEDD than the control group,with statistically significant differences(P<0.05).Following nursing,both groups showed improved 6MWT and ADL levels compared to before care,and the observation group had better scores in both measures than the control group(P<0.05).After nursing,BPOMS scores decreased and CD-RISC scores increased for both groups;the observation group exhibited lower BPOMS scores and higher CD-RISC scores compared to the control group,with statistically significant differences(P<0.05).The incidence of adverse events in the observation group was lower than that in the control group,with statistically significant differences(P<0.05).Conclusion Patients with acute myocardial infarction wh

关 键 词：循证护理 早期心脏康复运动护理 急性心肌梗死 心功能 

分 类 号：R473.5[医药卫生—护理学]