早期康复护理对急性心肌梗死患者生活质量的影响

Effects of early rehabilitation nursing on quality of life in patients with acute myocardial infarction

目的探讨早期康复护理对急性心肌梗死患者生活质量的影响。方法将210例急性心肌梗死患者随机分为康复组（105例）和对照组（105例）。康复组患者实施2W康复程序，然后应用中文版SF-36健康调查量表测评患者的生活质量；对照组采用传统方法。并随访2年。比较两组生活质量的改善情况。结果康复组生活质量改善明显，与对照组比较6个维度差异有显著性意义（P〈0．05或P〈0．01）；1个月后康复组各维度得分接近正常人的生活质量，而对照组改变不明显；两组的平均住院日数比较有显著差异（P〈0．01）；两组在恢复工作、家务活动、性生活恢复、体育锻炼等项目的比较差异有显著性意义（P〈0．05或P〈0．01）。结论早期康复护理有助于提高急性心肌梗死患者的生活质量。

Objective To investigate the effects of early rehabilitation nursing on quality of life （QL） in the patients with acute myocardial infarction （AMI） . Methods 210 patients with AMI were prospectively randomized into early rehabilitation nursing group and controlled group. Patients in the former group finished a two - week rehabilitation program. By using Chinese version SF- 36 scales, all subjects received questionnaire investigation to value their quality of llfe and followed up for 2 years. Results Rehabilitation nursing group had improving the quality of llfe of the AMI than those of the control group. Six cores of QL in rehabilitation group were higher than those of control group （ P 〈 0. 05 or P 〈 0. 01 ） . Every score of QL in rehabilitation group was close to the normal, and no change in the control group. They got a better improvement than control group on return to work, housework, sexual activity and exercise training （ P 〈 0. 05 or P 〈 0. 01 ） . There was a signifieant difference between the two groups in the average number of days of hospitalization （ P 〈0. 01 ） . Conclusions Results showed that QL Of AMI patients performed early rehabilitation nursing can be improved obviously.