早期多维度心脏康复护理模式对冠状动脉粥样硬化性心脏病患者PCI术后MACE发生率的影响

The effect of early multi-dimensional cardiac rehabilitation nursing model on the incidence of MACE in patients with coronary atherosclerotic heart disease after PCI

目的探讨早期多维度心脏康复护理模式对冠状动脉粥样硬化性心脏病(CHD)患者经皮冠状动脉介入术(PCI)术后主要心脏不良事件(MACE)发生率的影响.方法将天津市胸科医院2020年3月-2022年3月期间113例CHD行PCI的患者按照随机数字表法分为对照组56例,给予常规心脏康复护理模式干预,观察组57例,在对照组基础上给予早期多维度心脏康复护理模式干预,观察两组心功能、健康行为水平、MACE.结果干预后,观察组左心室射血分数(LVEF)以及左心室舒张末期容积(LVEDV)水平均高于对照组,左心室收缩末期容积(LVESV)水平低于对照组(P<0.05);观察组运动锻炼以及健康责任评分均高于对照组(P<0.05);观察组MACE发生率(12.28%)低于对照组(28.57%)(P<0.05).结论早期多维度心脏康复护理模式应用于CHD行PCI的患者,可提高其健康行为水平,改善心功能,进而减少MACE发生.

Objective To explore the impact of early multi-dimensional cardiac rehabliitation nursing model on the incidence of major adverse cardiac events(MACE)in patients with coronary atherocslerotic heart disease(CHD)after percutaneous coronary intervention(PCI).Methods A total of 113 CHD patients undergoing PCI in our hospital from March 2020 to March 2022 were randomly divided into the control group 56 and given conventional cardiac rehabilitationn ursing model intervention,and the observation group 57 were igven early multi-dimensional cardiac rehabilitation nursing model intervention on the basis of the control group.Observed two groups ocf ardiac function,healthy behavior level,MACE.Results After the intervention,the left ventricular ejection fraction(LVEF)and left ventricular end diastolic volume(LVEDV)levels of the observation group were higher than those of the control group,and the left ventricular end systolic volume(LVESV)levels were lower than those of the control group P(<0.05);the scores of exercise and health responsibility in the observation group were higher than those in the control gruop P(<0.05);the incidence of MACE in the observation group(12.28%w)as lower than that in the control group(28.57%)P(<0.05).Conclusions The early multi-dimensional cardiac rehabilitation nursing model applied to CHD patients undergoing PCI can improve the level o hf ealthy behavior,improve heart function and reduce the occurernce of MACE.