基于5A模式的早期心脏康复护理对急性心肌梗死患者6 min步行距离的影响

Effect of early cardiac rehabilitation nurs ing based on 5A model on 6 min walking distance of patients with acute myocardial infarction

目的:探究基于5A模式的早期心脏康复护理对急性心肌梗死患者6 min步行距离(6MWD)的影响。方法:以深圳市龙华区人民医院2021年1月至2022年2月收治的64例急性心肌梗死患者为研究对象,随机分为两组,各32例。给予对照组常规护理,在此基础上给予观察组基于5A模式的早期心脏康复护理,对比两组的护理效果。结果:(1)观察组的临床总有效率为93.75%,显著高于对照组的75.00%,P<0.05。(2)干预后,观察组的Barthel指数(BI)评分、日常生活活动能力量表(ADL)评分均显著高于对照组,6MWD显著远于对照组,P<0.05。(3)干预后,观察组的左室射血分数(LVEF)、每搏输出量(SV)、右室射血分数(RVEF)均显著高于对照组,P<0.05。(4)干预后,观察组的左心室后壁厚度(LVPW)、左心室质量指数(LVMI)、左室重构指数(LVRI)均显著低于对照组,P<0.05。(5)干预后,观察组心血管不良事件的发生率为6.25%,显著低于对照组的31.25%,P<0.05。结论:基于5A模式的早期心脏康复护理可有效改善急性心肌梗死患者的心功能指标和心脏重构指标,减少心血管不良事件的发生,促进肢体功能和自理能力的恢复,增加6MWD,安全可行。

Objective:To explore the effect of early cardiac rehabilitation nursing based on 5A model on 6 min walking distance(6MWD)of patients with acute myocardial infarction.Methods:A total of 64 patients with acute myocardial infarction admitted to Longhua District People’s Hospital of Shenzhen from January 2021 to February 2022 were selected as research objects and randomly divided into two groups with 32 cases in each group.The control group was given routine nursing,on the basis of which the observation group was given early cardiac rehabilitation nursing based on 5A mode,and the nursing effect of the two groups was compared.Results:(1)The total clinical effective rate of observation group was 93.75%,which was significantly higher than that of control group(75.00%),P<0.05.(2)After intervention,the Barthel index(BI)score and ADL score of the observation group were significantly higher than those of the control group,and 6MWD was significantly far higher than that of the control group,P<0.05.(3)After intervention,left ventricular ejection fraction(LVEF),stroke output(SV)and right ventricular ejection fraction(RVEF)in observation group were significantly higher than those in control group,P<0.05.(4)After intervention,the left ventricular posterior wall thickness(LVPW),left ventricular mass index(LVMI)and left ventricular remodeling index(LVRI)in the observation group were significantly lower than those in the control group,P<0.05.(5)After intervention,the incidence of cardiovascular adverse events in the observation group was 6.25%,significantly lower than 31.25%in the control group,P<0.05.Conclusions:Early cardiac rehabilitation nursing based on 5A mode can effectively improve the cardiac function indexes and cardiac remodeling indexes of patients with acute myocardial infarction,reduce the occurrence of cardiovascular adverse events,promote the recovery of limb function and self-care ability,and increase 6MWD,which is safe and feasible.