康复护理对急性心肌梗死患者PCI术后治疗依从性的影响

Rehabilitation on Compliance of Patients with Acute Myocardial Infarction after PCI

目的:探讨康复护理对急性心肌梗死(AMI)患者经皮冠状动脉介入治疗(PCI)术后治疗依从性的影响。方法:将180例行PCI的AMI患者采用随机数字表法分为干预组和对照组各90例,对照组采用常规出院指导,干预组在常规出院指导的基础上实施康复护理;采用康复日记、汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)及不良反应评分比较两组患者出院6个月时治疗依从性、心理状况和不良反应评分。结果:出院6个月,干预组治疗依从性中每日服药、运动、吸烟、低盐低脂低胆固醇、饮酒、体重控制评分均低于对照组(P<0.01),HAMD、HAMA评分以及不良反应评分均显著低于对照组(P<0.01)。结论:AMI行PCI术后患者在常规出院指导基础上,加强后医院时段康复护理及康复日记约束,可以提高患者的治疗依从性,减少抑郁、焦虑情绪和不良反应的发生,从而提高预后生活质量。

Objective:To explore the effect of rehabilitation nursing on the compliance of patients with acute myocardial infarction after percutaneous coronary intervention.Methods:A total of 180 patients with AMI who underwent PCI were randomly divided into the intervention group and the control group with 90 cases in each group.The control group received routine discharge guidance.The intervention group performed rehabilitation nursing on the basis of routine discharge guidance.Treatment adherence,psychological status,and adverse reaction scores were compared at 6 months after discharge from the two groups of patients using the Rehabilitation Diary,Hamilton Depression Scale(HAMD),Hamilton Anxiety Scale(HAMA)and adverse reaction scores.Results:After 6 months of discharge,the scores of daily medication,exercise,smoking,low salt,low fat,low cholesterol,alcohol and weight control in the intervention group were all lower than those in the control group(P<0.01),and the scores of HAMD,HAMA and adverse reaction were significantly lower than those in the control group(P<0.01).Conclusion:On the basis of routine discharge guidance,patients with AMI after PCI can strengthen the treatment of hospital rehabilitation and rehabilitation diary,which can improve the patient′s treatment compliance,reduce the occurrence of depression,anxiety and adverse reactions,thus improving the prognosis quality of life.