重症冠心病患者心脏康复分级护理方案的制订与应用

Formulation and application of cardiac rehabilitation grading nursing program in patients with severe coronary artery disease

目的制订并应用重症冠心病患者心脏康复分级护理方案,评价其应用效果。方法2019年7月通过文献回顾和临床实践分析重症冠心病患者心脏康复护理特点及难点,成立专项管理小组,制订重症冠心病患者心脏康复分级护理方案,将该方案于2019年8月—2021年1月进行临床应用并收集相关资料。结果心脏康复分级护理方案共计应用于817例患者,转科前进阶至下地活动的患者有519例(63.5%),发生不良事件13例(1.6%)。结论该方案可有效对重症冠心病患者进行危险分层,指导护士开展心脏康复护理干预。

Objective To develop and implement a grading program of cardiac rehabilitation(CR)nursing intervention among the patients with severe coronary artery disease.Methods In July 2019,we started a specialized group to analyze the characteristics and difficulties of CR nursing among the patients with severe coronary artery disease through literature review and clinical practice.We formulated a program of cardiac rehabilitation grading nursing care and carried out it for clinical application and data collection during August 2019 to January 2021.Results Since the launch of CR grading care,a total of 817 patients with severe coronary artery disease have been included;519(63.5%)patients had underground activities before being discharged,and 13(1.6%)patients had adverse events.Conclusion The program can effectively provide the suitable CR nursing and satisfy the rehabilitation needs among patients with severe coronary artery disease.