循证护理联合运动康复对行PCI的AMI患者的影响

Effect of Evidence-based Nursing Combined with Exercise Rehabilitation in Patients with AMI after PCT

目的:探讨循证护理联合运动康复对行经皮冠状动脉介入治疗(AMI)的急性心肌梗死(AMI)患者的影响。方法:回顾性分析2021年3月1日~2023年3月31日收治的200例行PCI的AMI患者临床资料,根据术后护理方法不同分为对照组和研究组各100例,对照组给予常规护理,研究组采用循证护理联合运动康复治疗;比较两组干预前后心功能指标[包括左心室射血分数(LVEF)、左心室舒张末内径(LVEDD)、B型利钠肽原(ProBNP)]自我管理行为[采用冠状动脉疾病自我管理量表(CSMS)]、生理指标[包括收缩压(SBP)、舒张压(DBP)、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白(LDL)]及生活质量[采用西雅图心绞痛问卷(SAQ)]。结果:干预后,两组LVEF低于护理前(P<0.05)、LVEDD和ProBNP均高于护理前(P<0.05),且研究组LVEF、proBNP均优于对照组(P<0.05);干预后,两组CSMS中自我管理、情绪管理得分及总分均高于干预前(P<0.05),且研究组高于对照组(P<0.05);干预后,两组SBP、DBP、FBG、TC、TG、LDL均优于干预前(P<0.05),且研究组优于对照组(P<0.05);干预后,两组SAQ评分高于干预前(P<0.05),且研究组高于对照组(P<0.05)。结论:循证护理联合运动康复能改善患者心功能和生理指标,提高治疗依从性和满意度,减少术后并发症的发生,提高患者的生活质量。

Objective:To explore the effect of evidence-based nursing combined with exercise rehabilitation in patients with acute myocardial infarction(AMI)after percutaneous coronary intervention therapy(PCT).Methods:A retrospective analysis was conducted on the clinical data of 200 patients with AMI treated with PCT admitted from March 1,2021 to March 31,2023.According to the different postoperative nursing methods,the patients were divided into the control group and the study group with 100 patients in each group.The control group was given routine care,and the study group adopted evidence-based nursing combined with exercise rehabilitation.Comparison was made on the cardiac function indicators including left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD),B-type natriuretic peptide(ProBNP),self-management behavior by coronary artery disease self-management scale(CSMS),physiological indexes including systolic blood pressure(SBP),diastolic blood pressure(DBP),total cholesterol(TC),triglyceride(TG),low density lipoprotein(LDL)and the quality of life by Seattle angina questionnaire(SAQ).Results:After intervention,the LVEF was lower in both groups than those before nursing(P<0.05),the LVEDD and ProBNP were higher than those before nursing,and the LVEDD and ProBNP in the study group were significantly higher than those in the control group(P<0.05).After intervention,the self-management,emotional management scores and the total scores in CSMS were higher in both groups than those before intervention(P<0.05),and those in the study group were significantly higher than those in the control group(P<0.05).After intervention,the SBP,DBP,FBG,TC,TG and LDL were better in both groups than those before intervention(P<0.05),and those in the study group were significantly better than those in the control group(P<0.05).After intervention,the SAQ scores were higher in both groups than those before intervention(P<0.05),and those in the study group were significantly higher than those in the control group(P<0.05).Conclusion:Evidence based nursing combined with exercise rehabilitation can improve the cardiac function and physiological indicators in patients with acute myocardial infarction after percutaneous coronary intervention therapy,improve their treatment compliance and satisfaction,reduce their postoperative complications,and improve their quality of life.