健康教育联合有氧运动在冠心病致心肌缺血患者护理中的应用

Application of health education combined with aerobic exercise in nursing of patients with myocardial ischemia caused by coronary heart disease

目的:探讨健康教育联合有氧运动在冠心病致心肌缺血患者护理中的应用效果。方法:选取我院2016年3月~2017年4月收治的冠心病致心肌缺血患者126例,并随机等分为对照组和观察组,对照组给予常规护理;观察组在常规护理基础上应用健康教育联合有氧运动。观察两组患者心肌缺血发作时间、发生心肌缺血次数、ST段压低次数、ST段下移减少量,并对比左心射血分数、心肺运动试验结果、疾病知识掌握程度及生活质量。结果:观察组患者心肌缺血发作时间、发生心肌缺血次数比对照组少(P<0.05);观察组ST段压低次数、ST段下移减少量比对照组多(P<0.05);观察组左心射血分数、心肺运动试验结果改善程度比对照组好(P<0.05);观察组疾病知识掌握程度及生活质量评分均高于对照组(P<0.05)。结论:健康教育联合有氧运动在冠心病致心肌缺血患者护理中的应用,能提高其运动耐力,改善康复效果。

Objective： To explore the application effect of health education combined with aerobic exercise in nursing of patients with myocardial ischemia caused by coronary heart disease. Methods： A total of 126 patients with myocardial ischemia caused by coronary heart disease admitted to our hospital from March 2016 to April 2017 were selected and randomly and equally divided into control group and observation group. The control group received conventional nursing,and the observation group received health education combined with aerobic exercise on the basis of conventional nursing. The time and frequency of myocardial ischemic attack,number of ST segment depression and decrease of ST segment depression in the two groups were observed,and the left ventricular ejection fraction,cardio pulmonary exercise test results,mastery degree of disease knowledge and quality of life were compared. Results： The time and frequency of myocardial ischemic attack in the observation group was less than that in the control group（ P〈0. 05）; the number of ST segment depression and the decrease of ST segment depression in the observation group were more than those in the control group（ P〈0. 05）; the left ventricular ejection fraction and cardio pulmonary exercise test results in the observation group were better than those in the control group（ P〈0. 05）; the mastery degree of disease knowledge and the quality of life score in the observation group were higher than those in the control group（ P〈0. 05）. Conclusion： The application of health education combined with aerobic exercise in the nursing of patients with myocardial ischemia caused by coronary heart disease can improve the exercise endurance and rehabilitation effect.