系统康复护理干预对急诊冠状动脉内支架植入术患者身心康复的影响

The effect of systematic rehabilitation nursing intervention on the physical and psychological rehabilitation of the patients with PCI in the emergency room

目的探讨系统性康复护理干预对急诊冠状动脉内支架植入术（PCI）患者身心康复的影响。方法将120例急诊PCI患者随机分为干预组和对照组各60例，两组患者均给予常规护理，干预组在对照组基础上进行系统性康复护理干预，主要包括心理干预，健康教育和术后早期康复训练。干预后对两组患者心理状态、并发症、心功能、术后监护时间及住院时间进行比较。结果干预组患者焦虑、抑郁发生率较对照组明显降低，并发症明显少于对照组，均P〈0．01，心功能较对照组明显改善P〈0．05，术后监护时间和住院时间较对照组明显缩短，P〈0．01，差异有统计学意义。结论对急诊PCI患者实施系统康复护理干预，能缓解其焦虑、抑郁的心理状态，提高患者对疾病和康复训练的认知能力，改善不良行为，减少术后并发症发生，改善患者心功能，缩短术后监护时间和住院时间，降低住院费用，促进患者身心康复。

Objective To exploi-e the effect of systematic rehabilitation nursing intervention on the physical and psychological reha- bilitation of the patients with percutaneous coronary intervention （PCI） in emergency room. Methods A total of 120 patients with PCI were randomly divided into into intervention group and control group with 60 patients in each group. Both the two groups were received routine nursing. The intervention group was received systematic rehabilitation nursing intervention including psychological intervention, health educa- tion and early rehabilitation training after operation. After intervention, two groups were compared with each other in the aspects of mental state, complication, heart function, postoperative care and hospital stays. Results The incidence of anxiety and depression in the interven- tion group decreased obviously compared with that of control group, and the intervention group had less complication. Moreover, the inter- vention group had better heart function, shorter postoperative and hospital stays than those of control group, both P 〈 0.01. The difference was statistically significant. Conclusions Systematic rehabilitation nursing intervention helps patients with PCI relieve anxiety and depres- sion, improve patients＂ cognition capacity about disease and rehabilitation training, correct harmful behavior, decrease the occurrence of post- operative complication, improve heart function, shorten postoperative care and hospital stays, lower the hospitalization expense and promote their physical and psychological rehabilitation.