早期运动康复护理干预对PCI术后患者心功能与生活质量影响

Effects of early exercise rehabilitation nursing intervention on cardiac function and quality of life in patients after PCI operation

目的:探讨早期运动康复护理干预对经皮冠状动脉介入术(PCI)后患者心功能及生活质量的影响。方法:将2016年2月~2017年2月在我院接受PCI治疗的98例冠心病患者随机等分成观察组和对照组,两组患者术后均进行常规治疗及康复护理,观察组同时进行早期运动康复干预,12周后比较两组患者的左心室射血分数(LVEF)、6 min步行距离(6MWD)等心功能指标,并应用简明健康量表(SF-36)测评患者的生活质量。结果:12周后,观察组患者的LVEF,6MWD及SF-36各维度评分均高于对照组,差异有统计意义(P<0.05)。结论:对冠心病患者在PCI术6 h后开展早期运动康复护理,有助于改善患者心功能,促进预后,提高生活质量,临床意义重大。

Objective： To explore the early exercise rehabilitation nursing intervention on cardiac function and quality of life in patients after percutaneous coronary intervention（ PCI） operation. Methods： A total of 98 patients with coronary artery disease undergoing PCI in our hospital form February 2016 to February 2017 were randomly divided into observation group and control group. Both groups received routine treatment and rehabilitation nursing after operation. The observation group also received early exercise rehabilitation intervention. After 12 weeks of intervention,left ventricular ejection fraction（ LVEF）,6-minute walking distance（ 6 MWD） and other cardiac function indexes were compared between two groups and SF-36 was used to evaluate the quality of life of the patients. Results： After 12 weeks,the scores of LVEF,6 MWD and SF-36 in the observation group were higher than those in the control group and the difference was statistically significant（ P 〈 0. 05）. Conclusion： It is of great clinical significance to carry out early exercise rehabilitation nursing in patients with coronary heart disease after 6 hours of PCI,which can improve cardiac function,promote prognosis and improve quality of life.