康复护理在急性心肌梗死患者中的应用效果及对SAS评分及心力衰竭因子的影响

Application effect of rehabilitation nursing in patients with acute myocardial infarction and its influences on SAS score and heart failure factor

目的研究康复护理在急性心肌梗死患者中的应用效果及对SAS评分及心力衰竭因子的影响。方法选择我院2016年3月至2018年3月收治的80例急性心肌梗死患者为研究对象,依据患者入院就诊的顺序将2016年3月至2017年2月收治的患者作为对照组(40例,实施常规护理);将2017年3月至2018年3月收治的患者作为观察组(40例,实施康复护理)。比较两组心绞痛发作次数、住院时间、焦虑情绪、并发症发生情况及氨基末端脑钠肽前体蛋白(NT-proBNP)水平。结果观察组心绞痛发作次数少于对照组,住院时间短于对照组,差异具有统计学意义(P<0.05)。护理后14 d,两组SAS评分均降低,且观察组低于对照组,差异具有统计学意义(P<0.05)。护理后,观察组并发症总发生率为7.50%,显著低于对照组的25.00%,差异具有统计学意义(P<0.05)。护理后1 d,两组NT-proBNP水平比较,差异无统计学意义(P>0.05);护理后14 d,两组患者NT-proBNP水平均降低,且观察组低于对照组,差异具有统计学意义(P<0.05)。结论将康复护理作为急性心肌梗死患者的护理方案,对患者焦虑的改善及并发症的预防具有重大意义,值得推广及应用。

Objective To study the application effect of rehabilitation nursing in patients with acute myocardial infarction and its influences on SAS score and heart failure factor. Methods Eighty patients with acute myocardial infarction admitted in our hospital from March 2016 to March 2018 were selected as the research objects. According to the order of admission, the patients admitted from March 2016 to February 2017 were taken as control group(40 cases, given routine nursing) and the patients admitted from March 2017 to March 2018 were taken as observation group(40 cases, given rehabilitation nursing). The number of angina attacks, hospitalization time, anxiety mood, complications and level of aminoterminal brain natriuretic peptide precursor protein(NT-proBNP) were compared between the two groups. Results The number of angina pectoris attacks in the observation group was less than that in the control group, and the hospitalization time was shorter than that in the control group, the differences were statistically significant(P<0.05). At the fourteenth days after nursing, the SAS scores of the two groups decreased, and that in the observation group was lower than the control group, the differences were statistically significant(P <0.05). After nursing, the total incidence of complications in the observation group was 7.50%, which was significantly lower than 25.00% in the control group(P <0.05). There was no significant difference in NT-proBNP level between the two groups at the first day after nursing(P>0.05);at the fourteenth day after nursing, NT-proBNP levels of both groups decreased, and that of the observation group was lower than the control group, the differences were statistically significant(P<0.05). Conclusion Rehabilitation nursing as a nursing program for patients with acute myocardial infarction is of great significance to improve anxiety and prevent complications, and it is worth popularizing and applying.