早期心脏康复计划对急性心肌梗死PCI术后生活质量的影响

Effects of early cardiac rehabilitation program on quality of life in acute myocardial infarction patients after percutaneous coronary intervention

目的探讨早期心脏康复计划对非ST段抬高心肌梗死患者经皮冠状动脉介入治疗(PCI)术后生活质量的影响。方法 86例行PCI治疗的非ST段抬高心肌梗死患者随机分为对照组和康复组,各43例。对照组给予常规护理干预,康复组在对照组基础上给予早期心脏康复护理。采用健康调查简表(SF-36)评估2组PCI术后第1天以及出院后1个月生活质量,比较2组住院时间。结果出院后1个月2组SF-36量表中躯体疼痛评分升高,其余各维度评分均降低,康复组生理机能、一般健康、精力、社会功能、和精神健康评分高于对照组,差异有统计学意义(P<0.05或P<0.01)。康复组住院时间短于对照组,差异有统计学意义(P<0.01)。结论早期心脏康复计划可改善急性非ST段抬高心肌梗死PCI术后康复和患者生活质量。

Objective To investigate the effect of early cardiac rehabilitation program on quality of life in acute myocardial infarction patients after percutaneous coronary intervention （PCI）. Methods A total of 86 patients with non- ST-segment elevation myocardial infarction （NSTEMI） were randomly divided into the control group and the rehabilitation group, with 43 ca-ses in each group. Both two groups received routine care during PCI treatment, and the early car-diac rehabilitation program was carried out in the rehabilitation group. The Short Form 36 Health Survey （SF-36） was applied to assess the quality of life at 1 day after PCI and 1 month after hos-pital discharge. The length of stay was recorded and compared between two groups. Results Pa-tients in both groups had a increase in body pain and decrease in rest of other demission of SF-36.The score of physical function, general health, energy, social function and mental health were higher in the rehabilitation group than that of controls, with a significant difference （ P 〈 0.05 or P 〈0.01）. the length of stay was shorter in the in the rehabilitation group than that of controls, with a significant difference （P 〈0.01）. Conclusion Early cardiac rehabilitation program is ef-fective to improve the rehabilitation and quality of life in NSTEMI patients after percutaneous cor-onary intervention.