早期心脏康复在急性心肌梗死PCI术后护理中的应用效果观察

Observation on the effect of early cardiac rehabilitation in nursing care of acute myocardial infarction after PCI

目的:探讨早期心脏康复在急性心肌梗死PCI术后护理中的应用效果。方法:2019年1-12月收治急性心肌梗死PCI术患者100例,随机分为两组,各50例。对照组给予常规护理干预;观察组给予常规护理结合早期心脏康复护理。比较两组护理效果。结果:观察组满意度、明尼苏达心衰运动耐力和生活质量调查表(MLWHF)评分、左心室射血分数、6 min步行试验(6MWT)均显著高于对照组,氨基末端脑钠肽前体(NT-proBNP)水平、术后并发症发生率均低于对照组,差异有统计学意义(P<0.05)。结论:急性心肌梗死PCI术后患者实施常规护理结合早期心脏康复护理,可改善患者运动耐力、血清学指标、心功能和生活质量,提高满意度,降低术后并发症发生率。

Objective:To explore the effect of early cardiac rehabilitation in nursing care of acute myocardial infarction after PCI.Methods:From January to December 2019,100 patients with acute myocardial infarction undergoing PCI were selected,they were randomly divided into the two groups with 50 cases in each group.The control group was given regular nursing intervention.The observation group was given regular nursing combined with early cardiac rehabilitation nursing.We compared the nursing effect of the two groups.Results:The satisfaction,Minnesota heart failure exercise endurance and quality of life(MLWHF)score results,left ventricular ejection fraction,6 min walk test(6MWT)results were significantly higher than the control group,N-terminal pro-brain natriuretic peptide(NT-proBNP)levels and the incidence of postoperative complications of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Routine care combined with early cardiac rehabilitation care for patients with acute myocardial infarction undergoing PCI can improve exercise endurance and serological indicators,improve cardiac function and quality of life,increase satisfaction,and reduce postoperative complications.