基于病友之家模式的护理干预对急性心肌梗死介入术后出院患者康复的影响

Effect on rehabilitation of discharged patients with acute myocardial infarction after nursing intervention based on patient home mode

目的探索病友之家模式在急性心肌梗死患者出院后康复中的应用及其效果。方法选取我院2014年7月-2015年10月急性心肌梗死行介入手术的患者共100例,随机分为对照组和干预组,每组各50例。对照组患者出院时进行常规出院健康指导,干预组患者在此基础上邀请其加入病友之家,参与一系列活动。观察两组患者在出院后12个月的左室射血分数(Left ventricular ejection fraction,LVEF)、左室舒张末期内径(Left ventricular end-diastolic diamete,LVEDD)改善情况、主要不良心脑事件(Major adverse cadiac and cerebral events,MACCE)的发生情况、再入院率。结果干预组出院后12个月的左室射血分数(LVEF%)显著增加、左室舒张末期内径明显低于对照组,MACCE的发生率、再入院率明显低于对照组。结论开展多种方式相结合的病友之家模式能够有效促进急性心肌梗死患者出院后的心脏康复,降低患者MACCE的发生率,从而提高患者的生活质量,降低再入院率。

Objective To explore the application and effect of'patient home mode'for on rehabilitation of discharged patients with acute myocardial infarction after PCI.Methods 100 patients with acute myocardial infarction undergoing interventional operations in our hospital from July 2014 to October 2015 were collected and randomly divided into control group and intervention group.50 patients in each group.Patients in control group received normal health guidance when discharged from hospital,patients in intervention group were invited to the 'patient home model'for a series of education events.Left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD),major adverse cardiac and cerebral events(MACCE)and readmission rate were observed in two groups after discharging from hospital for 12 months.Results The LVEF of the patients in intervention group was obviously increased after leaving hospital for 12 months.While LVEDD,MACCE and readmission rate in intervention group was significantly lower than that of the control group.Conclusion The patients home mode combined with multiple ways can effectively promote the cardiac rehabilitation of patients with acute myocardial infarction after discharge,and reduce the incidence of MACCE in patients,so as to reduce the readmission rate and improve the patients' quality of life.