早期康复护理对急性心肌梗死患者生活质量和对医护满意度的影响

Influence of early rehabilitation nursing on quality of life of patients and satisfaction for medical staff in patients with acute myocardial infarction

目的：探讨早期康复护理对急性心肌梗死（AMI）患者的生活质量和医护满意度的影响。方法：选择我院2012年9月至2013年10月接诊的100例 AMI 患者为研究对象，按数字表法随机分为常规护理组（50例），早期康复护理组（50例，在常规护理的基础上实施早期康复护理），采用中国心血管病人生活质量评定问卷（CQQC）评定生活质量，比较两组患者的护理效果。结果：实施3周护理后，早期康复组患者对医护态度、医护水平、健康宣教及心理干预等满意度均明显高于常规护理组患者（分别为98.0％比78.0％、100％比76.0％、96.0％比80.0％、100％比82.0％），差异具有统计学意义（P ＜0.05～＜0.01），早期康复组患者的 CQQC 各项评分均明显优于常规护理组患者，组间差异具有统计学意义（P 均＜0.01）。结论：早期康复护理对急性心肌梗死患者有利于病情改善，可大大提高患者的生活质量及对医护工作的满意度，值得临床推广。

Objective：To explore the influence of early rehabilitation nursing on quality of life of patients and satis-faction for medical staff in patients with acute myocardial infarction （AMI）.Methods：A total of 100 AMI patients who visited to our hospital from Sep 2012 to Oct 2013 were enrolled.According to number table,they were random-ly divided into routine nursing group （n=50）and early rehabilitation nursing group （n=50,received early rehabili-tation nursing based on routine nursing）.The Chinese questionnaire of quality of life in patients with cardiovascular disease （CQQC）was used for evaluating patient＇s quality of life.The nursing effect was compared between two groups.Results：After three-week nursing care,satisfactions on medical staff attitude,medical staff work level, health publicity and education and psychological intervention of early rehabilitation nursing group were significantly higher than those of routine nursing group （98.0% vs.78.0%、100% vs.76.0%、96.0% vs.80.0%、100% vs. 82.0%）,P 〈0.05~〈0.01.Each score of CQQC in early rehabilitation nursing group was significantly higher than that of routine nursing group,P 〈0.01 all.Conclusion：Early rehabilitation nursing is helpful to improve patient＇s condition,significantly improve the quality of life and their satisfaction for medical staff in patients with acute myo-cardial infarction,and it is worth clinical extending.