综合康复护理在老年急性心肌梗死合并急性左心衰竭患者中的应用效果

Application effects of comprehensive rehabilitation nursing in elderly patients with acute myocardial infarction complicated with acute left heart failure

目的:观察综合康复护理在老年急性心肌梗死合并急性左心衰竭患者中的应用效果。方法:选2019年1月至2020年12月该院收治的94例老年急性心肌梗死合并急性左心衰竭患者进行前瞻性研究,以奇偶法将其分为对照组和观察组各47例。对照组接受常规康复护理,观察组接受综合康复护理,比较两组护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、生命质量[中国心血管病人生活质量评定问卷(CQQC)]评分和护理满意度。结果:护理后,两组SAS、SDS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);护理后,两组CQQC评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为97.87%(46/47),高于对照组的82.98%(39/47),差异有统计学意义(P<0.05)。结论:综合康复护理应用于急性心肌梗死合并急性左心衰竭患者可提高生命质量评分和护理满意度,降低负性情绪评分,效果优于常规康复护理。

Objective:To observe application effects of comprehensive rehabilitation nursing in elderly patients with acute myocardial infarction complicated with acute left heart failure.Methods:A prospective study was conducted on 94 elderly patients with acute myocardial infarction complicated with acute left heart failure admitted to the hospital from January 2019 to December 2020.They were divided into control group and observation group by the parity method,47 cases in each.The control group received routine rehabilitation nursing,while the observation group received the comprehensive rehabilitation nursing.The negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]score,the quality of life[Chinese quality of life questionnaire(CQQC)for cardiovascular patients]score,and the nursing satisfaction were compared between the two groups before and after the nursing.Results:After the nursing,the scores of SAS and SDS in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the CQQC scores of the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 97.87%(46/47),which was higher than 82.98%(39/47)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The comprehensive rehabilitation nursing in the patients with acute myocardial infarction complicated with acute left heart failure can improve the quality of life scores and the nursing satisfaction,and reduce the negative emotion scores.Moreover,it is superior to the routine rehabilitation nursing.