健康教育联合运动康复七步法在急性心肌梗死患者PCI术后的应用效果及对生活质量的影响

Application effect of health education combined with exercise rehabilitation in seven steps after PCI in patients with acute myocardial infarction and its effect on quality of life

目的探讨健康教育联合运动康复七步法在急性心肌梗死(AMI)患者经皮冠状动脉介入治疗(PCI)术后的应用效果及对生活质量的影响。方法选取2018年3月~2019年3月我院收治的100例AMI PCI术后患者,采用随机对照原则分为两组,每组各50例。对照组PCI术后给予运动康复七步法,实验组在对照组的基础上给予健康教育,比较两组治疗后的临床效果、生活质量量表(SF-36)评分、左室射血分数(LEFF)及支架再狭窄、血运重建和死亡等不良事件发生情况。结果治疗后,实验组的治疗总有效率高于对照组,差异有统计学意义(P<0.05);两组治疗前的SF-36评分比较,差异无统计学意义(P>0.05);两组治疗后的SF-36条目评分高于治疗前,且实验组的SF-36条目评分高于对照组,差异均有统计学意义(P<0.05)。两组治疗前的LVEF值比较,差异无统计学意义(P>0.05);两组治疗后的LVEF值高于治疗前,且实验组的LVEF值高于对照组,差异均有统计学意义(P<0.05)。实验组的死亡、血运重建和支架再狭窄不良事件发生率低于对照组,差异有统计学意义(P<0.05)。结论AMI患者PCI术后采用健康教育联合运动康复七步法,有较好的临床效果,能提高患者生活质量,值得临床推广应用。

Objective To explore the application effect of health education combined with seven steps of exercise rehabilitation on the quality of life of patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI).Methods A total of 100 patients with AMI who were admitted to our hospital after PCI from March 2018 to March 2019 were selected and divided into two groups according to the principle of random control group,50 in each group.The patients in the control group were given seven steps of exercise rehabilitation after PCI.The patients in the experimental group were given health education on the basis of the control group.The clinical effect,quality of life scale(SF-36)score,left ventricular ejection fraction(LVEF),stent restenosis,revascularization and death were compared between the two groups.Results After treatment,the total effective rate in the experimental group was higher than that in the control group,the difference was statistically significant(P<0.05).There was no significant difference in SF-36 score between the two groups before treatment(P>0.05).The scores of SF-36 items in the two groups were higher after treatment than those before treatment,the scores of SF-36 items in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in LVEF value between the two groups before treatment(P>0.05).The LVEF values of the two groups were higher after treatment than those before treatment,the LVEF value of the experimental group was higher than that of the control group,and the differences were statistically significant(P<0.05).The incidence of adverse events such as death,revascularization and stent restenosis in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The seven steps of health education combined with exercise rehabilitation for patients with AMI after PCI has better clinical effect and can improve the quality of life of patients,which is worthy of clinical application.