心脏康复训练护理在冠心病患者PCI术后的应用研究

Application of cardiac rehabilitation training and nursing in patients with coronary heart disease after PCI

目的探究冠心病经皮冠状动脉介入治疗(PCI)术后开展心脏康复训练护理的应用效果。方法选取64例冠心病PCI术后患者,以随机数字表法分为对照组(基础护理,32例)与观察组(在基础护理基础上实行心脏康复训练护理,32例)。对比两组心肺功能指标[最大摄氧量(VO_(2 max))、阈值(AT)、代谢当量(MET)]、生活质量评分、满意度。结果观察组VO_(2 max)、AT、MET分别为(18.65±1.23)ml/(kg·min)、(15.95±3.11)ml/(kg·min)、(5.32±1.69),较对照组的(17.12±2.65)ml/(kg·min)、(14.25±3.05)ml/(kg·min)、(4.23±1.02)更优(P<0.05)。观察组生理功能、社会功能、情感职能及精神健康评分分别为(69.56±3.66)、(68.11±3.56)、(69.59±4.18)、(68.55±4.11)分,较对照组的(52.13±3.44)、(51.23±3.44)、(52.22±4.63)、(50.25±4.12)分更高(P<0.05)。观察组总满意度96.88%较对照组的78.13%更高(P<0.05)。结论在冠心病PCI术后开展心脏康复训练护理具有良好的护理效果,经过增强患者的身体适应能力、生活质量以及自我护理能力,为冠心病患者的康复提供可靠、有效的指导和支持。

Objective To explore the application effect of cardiac rehabilitation training and nursing in patients with coronary heart disease after percutaneous coronary intervention(PCI).Methods 64 patients with coronary heart disease after PCI were selected and divided into a control group(basic nursing,32 cases)and an observation group(cardiac rehabilitation training and nursing on the basis of basic nursing,32 cases)by random number table method.The cardiopulmonary function indexes[maximum oxygen uptake(VO_(2 max)),anaerobic threshold(AT),metabolic equivalent(MET)],quality of life score and satisfaction were compared between the two groups.Results In the observation group,VO_(2 max),AT and MET were(18.65±1.23)ml/(kg·min),(15.95±3.11)ml/(kg·min)and(5.32±1.69),which were better than(17.12±2.65)ml/(kg·min),(14.25±3.05)ml/(kg·min)and(4.23±1.02)in the control group(P<0.05).The scores of physiological function,social function,emotional function and mental health of the observation group were(69.56±3.66),(68.11±3.56),(69.59±4.18)and(68.55±4.11)points,which were higher than(52.13±3.44),(51.23±3.44),(52.22±4.63)and(50.25±4.12)points of the control group(P<0.05).The total satisfaction of the observation group was 96.88%,which was higher than the control group's 78.13%(P<0.05).Conclusion Cardiac rehabilitation training and nursing for patients after PCI has a good nursing effect,which can provide reliable and effective guidance and support for the rehabilitation of patients by enhancing their physical adaptability,quality of life and self-care ability.