康复护理对冠心病患者行经皮冠状动脉介入术术后恢复的影响

Effect of rehabilitation nursing on postoperative recovery of coronary heart disease patients with percutaneous coronary intervention

目的研究康复护理对冠心病经皮冠状动脉介入术(PCI)患者术后恢复的影响。方法回顾性分析本院76例行PCI冠心病患者的临床资料,依据单纯随机抽样法分为对照组(实施常规护理)和观察组(实施康复护理)。评估分析患者左室舒张末直径(LVEDD)、射血分数(EF)、日常生活能力量表Barthel指数(BI)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、简明健康状况调查问卷(SF-6)评分。结果术前,2组患者LVEDD与EF比较,差异均无统计学意义(P>0.05);术后,观察组LVEDD显著低于对照组,EF显著高于对照组,差异均有统计学意义(P<0.05)。护理前,2组BI、SAS、SDS评分差异均无统计学意义(P>0.05);护理后,2组BI显著升高,SAS、SDS评分显著降低,且观察组BI、SAS、SDS评分显著优于对照组,差异有统计学意义(P<0.05)。护理后,2组患者的生理、社会功能、精神、机体健康等生活质量评分均升高,且观察组显著高于对照组,差异均有统计学意义(P<0.05)。结论康复护理能够促进冠心病PCI术后患者的恢复,提高术后的生活质量,改善冠心病患者的预后。

Objective To study the effect of rehabilitation nursing on postoperative recovery of patients with coronary heart disease undergoing percutaneous coronary intervention(PCI).Methods A total of 76 patients with coronary heart disease who underwent PCI in our hospital were divided into control group(routine nursing)and observation group(rehabilitation nursing)according to simple random sampling method.The left ventricular end-diastolic diameter(LVEDD),ejection fraction(EF),Barthel Index(BI)of Daily Life Scale,Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)and Short-form Health Status Questionnaire(SF-6)scores were evaluated and analyzed.Results Before operation,there were no significant differences in LVEDD and EF between the two groups(P>0.05).After operation,the LVEDD of the observation group was significantly lower,and the EF was significantly higher than that of the control group(P<0.05).Before nursing,there were no significant differences in BI,SAS and SDS scores between the two groups(P>0.05);after nursing,BI increased significantly,and SAS and SDS scores decreased significantly in two groups,and the observation group was significantly better than that of the control group(P<0.05).After nursing,the scores of life quality in physiology,social function,mental and physical health in the two groups increased,and the observation group was significantly higher than that in the control group(P<0.05).Conclusion Rehabilitation nursing can promote the recovery,enhance the quality of life,and improve the prognosis of patients with coronary heart disease after PCI.