多学科协作家庭心脏康复管理方案用于急性心肌梗死慢性病共病患者PCI术后的临床效果

Clinical effect of multidisciplinary collaborative family cardiac rehabilitation management plan on acute myocardial infarction patients with chronic disease after percutaneous coronary intervention

目的 探讨急性心肌梗死慢性病共病患者经皮冠状动脉介入治疗(PCI)术后建立多学科协作家庭心脏康复管理方案的应用效果。方法 纳入2021年1月至2022年12月收治的急性心肌梗死慢性病共病患者82例,随机分为对照组和研究组,每组41例。对照组采用常规干预措施,研究组采用多学科协作家庭心脏康复管理方案,比较2组的心功能指标变化情况、自我管理能力、生活质量和心血管不良事件发生情况。结果 左心室射血分数比较,相比于干预前,2组干预后均升高,研究组升高幅度大于对照组(P<0.05);左心室收缩末期内径和左心室舒张末期内径比较,相比于干预前,2组干预后均缩短,研究组缩短幅度大于对照组(P<0.05)。冠心病自我管理行为量表(CS-MS)评分比较,相比于干预前,2组干预后均升高,研究组升高幅度大于对照组(P<0.05)。2组干预后的西雅图心绞痛调查量表(SAQ)评分均高于干预前,且研究组高于对照组(P<0.05)。研究组心血管不良事件发生率为2.44%,低于对照组的21.95%(P<0.05)。结论 急性心肌梗死慢性病共病患者PCI术后实施多学科协作家庭心脏康复管理方案,可促进患者心功能改善,提高其生活质量和自我管理能力,利于心血管不良事件的减少。

Objective To explore the application effect of a multidisciplinary collaborative family cardiac rehabilitation management plan on acute myocardial infarction(AMI)patients with chronic disease after percutaneous coronary intervention(PCI).Methods A total of 82 AMI patients with chronic disease admitted to our hospital from January 2021 to December 2022 were included as the study subjects.They were randomly divided into the control group and research group,with 41 patients in each group.Routine intervention measures were performed in the control group,while a multidisciplinary collaborative family cardiac rehabilitation management plan was adopted in the research group.The changes in cardiac function indicators,self-management ability,quality of life,and incidence of cardiovascular adverse events were compared between the two groups.Results The left ventricular ejection fraction(LVEF)significantly increased in both groups after intervention than the pre-intervention level,which was significantly higher in the research group than that of the control group(P<0.05).The left ventricular end systolic diameter(LVESD)and left ventricular end diastolic diameter(LVEDD)were significantly reduced in both groups after intervention than those before intervention,which were significantly lower in the research group than those of the control group(P<0.05).The Coronary Artery Disease Self-Management Scale(CSMS)score significantly increased in both groups after intervention than the pre-intervention level,which was significantly higher in the research group than that of the control group(P<0.05).The Seattle Angina Questionnaire(SAQ)score significantly increased in both groups after intervention than the pre-intervention level,which was significantly higher in the research group than that of the control group(P<0.05).The incidence of cardiovascular adverse events in the research group was significantly lower than that of the control group(2.44%vs 21.95%,P<0.05).Conclusion A multidisciplinary collaborative family cardiac rehabilitation management plan applied to AMI patients with chronic disease after PCI improve the cardiac function,quality of life and self-management ability,and reduce cardiovascular adverse events.