康复锻炼在心肌梗死后遗症患者中的效果观察

Effect observation of rehabilitation exercise on patients with sequelae of myocardial infarction

目的探讨心肌梗死后遗症患者实施康复锻炼的效果。方法70例心肌梗死后遗症患者,根据随机数字表法分为对照组和观察组,每组35例。对照组接受常规护理,观察组接受康复锻炼。比较两组患者干预前后自我效能、日常生活能力量表(ADL)评分以及不良反应发生率、简明健康状况调查量表(SF-36)评分。结果干预后,观察组限制行为、状态管理、管理行为、心理活动评分分别为(0.56±0.05)、(0.64±0.15)、(0.59±0.11)、(0.62±0.11)分,均低于对照组的(1.59±0.41)、(1.54±0.34)、(1.63±0.37)、(1.63±0.43)分,差异均具有统计学意义(P<0.05)。观察组不良反应发生率11.43%低于对照组的31.43%,差异具有统计学意义(P<0.05)。观察组患者躯体疼痛评分(70.06±16.41)分、生理职能评分(79.49±4.63)分、精神状态评分(68.48±12.33)分、社会功能评分(58.61±10.45)分均高于对照组的(57.36±12.62)、(75.36±7.85)、(60.27±10.36)、(50.63±12.84)分,差异均具有统计学意义(P<0.05)。干预后,观察组ADL评分(65.54±10.02)分高于对照组的(51.71±9.32)分,差异具有统计学意义(P<0.05)。结论开展康复锻炼可显著提高心肌梗死后遗症患者的日常生活能力及自我管理水平,改善生活质量,实现改善患者预后的目标。

Objective To discuss the effect of rehabilitation exercise on patients with sequelae of myocardial infarction.Methods A total of 70 patients with sequelae of myocardial infarction were divided into control group and observation group according to random numerical table,with 35 cases in each group.The control group received conventional nursing,and the observation group received rehabilitation exercise.The scores of self-efficacy,activities of daily living(ADL),incidence of adverse reactions,and 36-item short-form health survey(SF-36)score before and after the intervention were compared between the two groups.Results After the intervention,the scores of restrictive behavior,state management,management behavior,and psychological activity in the observation group were(0.56±0.05),(0.64±0.15),(0.59±0.11),and(0.62±0.11)points,which were all lower than(1.59±0.41),(1.54±0.34),(1.63±0.37),and(1.63±0.43)points in the control group,and the differences were statistically significant(P<0.05).The incidence of adverse reactions 11.43% in the observation group was lower than 31.43% in the control group,and the difference was statistically significant(P<0.05).The scores of physical pain,physiological function,mental state,and social function of the observation group were(70.06±16.41),(79.49±4.63),(68.48±12.33)and(58.61±10.45)points,which were higher than(57.36±12.62),(75.36±7.85),(60.27±10.36),and(50.63±12.84)points of the control group,and the differences were statistically significant(P<0.05).After the intervention,the ADL score(65.54±10.02)points of the observation group was higher than(51.71±9.32)points of the control group,and the difference was statistically significant(P<0.05).Conclusion Rehabilitation exercise can significantly improve the activities of daily living and selfmanagement level of patients with sequelae of myocardial infarction,improve their quality of life,and achieve the goal of improving the prognosis of patients.