心脏康复护理在急性心肌梗死病人围术期的应用效果  

Effect of cardiac rehabilitation nursing in perioperative period of patients with acute myocardial infarction

作　　者：杨永红[1] 孙涛[1] YANG Yonghong;SUN Tao(Beijing Anzhen Hospital,Capital Medical University,Beijing 100029 China)

机构地区：[1]首都医科大学附属北京安贞医院,北京100029

出　　处：《护理研究》2025年第4期647-651,共5页Chinese Nursing Research

摘　　要：目的:评估心脏康复护理在急性心肌梗死病人接受冠状动脉支架植入术围术期中的应用效果。方法:选择2023年1月—7月在我院接受冠状动脉支架植入术的急性心肌梗死病人160例,随机分为对照组和干预组各80例。对照组病人在围术期接受常规护理,干预组病人在常规护理的基础上进行心脏康复护理操作。比较两组病人门诊随诊情况、用药知晓情况、睡眠质量、焦虑评分及术后短期并发症发生情况。结果:干预组病人门诊随诊率及用药知晓情况均优于对照组(P<0.05),焦虑评分、睡眠质量评分、并发症发生率及住院天数明显少于对照组(P<0.05)。结论:急性心肌梗死病人在冠状动脉支架植入术围术期进行心脏康复护理,可减轻病人的焦虑状态,提高其睡眠和生活质量。Objective:To evaluate the effect of cardiac rehabilitation nursing in acute myocardial infarction patients undergoing coronary artery stenting during perioperative period.Methods:A total of 160 patients with acute myocardial infarction who received coronary artery stenting in our hospital from January to July 2023 were randomly divided into control group and intervention group,80 patients in each group.Patients in the control group received routine nursing during perioperative period,and patients in the intervention group received cardiac rehabilitation nursing operations on the basis of routine nursing.Outpatient follow-up,medication awareness,sleep quality,anxiety score and postoperative short-term complications were compared between the two groups.Results:The rate of outpatient follow-up and medication awareness in the intervention group were better than those in the control group(P<0.05).The anxiety score,sleep quality score,complication rate and hospitalization days in the intervention group were significantly lower than those in the control group(P<0.05).Conclusions:Cardiac rehabilitation nursing for acute myocardial infarction patients during perioperative period of coronary artery stenting can reduce the anxiety of patients and improve their sleep and quality of life.

关 键 词：急性心肌梗死 冠状动脉支架植入术 心脏康复 依从性 护理 

分 类 号：R473.5[医药卫生—护理学]