渐进式阶段性康复联合康复日记对急性心肌梗死经皮冠状动脉介入治疗术后患者康复及心功能的影响

Effect of Progressive Stage Rehabilitation Combined with Rehabilitation Diary on Rehabilitation and Cardiac Func⁃tion of Patients with Acute Myocardial Infarction after PCI

目的:探讨渐进式阶段性康复联合康复日记对急性心肌梗死经皮冠状动脉介入治疗(PCI)术后患者康复及心功能的影响。方法:选择2018年1月—2020年5月河南科技大学第一附属医院收治的82例急性心肌梗死PCI术后患者作为研究对象,以随机数表法分为对照组(采用康复日记进行护理干预)和研究组(在对照组采用康复日记进行护理的基础上采用渐进式阶段性康复进行护理干预),每组各41例。观察两组患者干预前后日常生活能力、心功能指标以及护理满意度。结果:干预前1 d,两组患者Barthel指数评分对比,差异无统计学意义(t=0.056,P>0.05);干预1个月后,两组患者Bar⁃thel指数评分均比干预前1 d高,且研究组高于对照组,差异有统计学意义(t=2.832,P<0.05)。干预前1 d,两组患者左室舒张末期半径(LVEDD)、左室射血分数(LEVF)水平对比,差异无统计学意义(t=0.072、0.084,P>0.05);干预1个月后,两组患者LVEDD水平均比干预前1 d低,LEVF水平均比干预前1 d高,且研究组LVEDD水平比对照组低,LEVF水平比对照组高,差异有统计学意义(t=4.792、4.460,P<0.05)。研究组护理满意度为95.12%高于对照组的78.05%,差异有统计学意义(χ^(2)=5.145,P<0.05)。结论:对急性心肌梗死PCI术后患者采用渐进式阶段性康复联合康复日记进行护理干预,可改善患者日常生活能力及心功能,且可提高患者护理满意度。

Objective:To investigate the effect of progressive phased rehabilitation combined with rehabilitation diary on the rehabilitation and cardiac function of patients with acute myocardial infarction after percutaneous coronary intervention(PCI).Methods:From January 2018 to May 2020,82 patients with acute myocardial infarction after PCI who were admitted to the hospital were selected as the research objects and were divided into the control group(used rehabilitation diary for nursing intervention)and the study group(used gradual phased rehabilitation for nursing intervention on the basis of the control group nursing),with 41 cases in each group.The daily living ability,cardiac function indexes and nursing satisfaction of the two groups of patients before and after the intervention were observed.Results:1 d before the intervention,there was no statistically significant difference in Barthel index scores between the two groups(t=0.056,P>0.05).After 1 month of intervention,the Barthel index scores of the two groups were higher than 1 day before the intervention,and the study group was higher than the control group,the difference was statistically significant(t=2.832,P<0.05).1 d before the intervention,there was no significant difference in left ventricular end-diastolic radius(LVEDD)and left ventricular ejection fraction(LEVF)between the two groups(t=0.072,0.084,P>0.05).After 1 month of intervention,the LVEDD level in the two groups was lower than that before the intervention,and the LEVF level was higher than that before the intervention.The LVEDD level in the study group was lower than that in the control group,and the LEVF level was higher than that in the control group,and the difference was statistically significant(t=4.792,4.460,P<0.05).The nursing satisfaction of the research group was 95.12%,higher than 78.05%of the control group,and the difference was statistically significant(χ^(2)=5.145,P<0.05).Conclusion:Nursing intervention in patients with acute myocardial infarction after PCI with progressive phased rehabilitation combined with rehabilitation diary can improve patients’daily living ability and cardiac function,and can improve patients’nursing satisfaction.