全面优质护理对急性心肌梗死患者康复情况及日常活动指数的影响

Effects of rehabilitation and daily activity index comprehensive quality of care for acute myocardial infarction patients

目的探讨全面优质护理对急性心肌梗死患者疾病康复情况及日常活动指数的影响。方法选取我院2011年6月~2014年6月期间收治的急性心肌梗死患者75例,依据方案实施时间分为实施前37例(设为对照组)和实施后38例(设为干预组)。对照组采用常规护理模式,干预组施以全面优质护理模式。对比分析两组护理1周前后患者的焦虑抑郁评分、Barthel指数评分及并发症发生率。结果护理后干预组患者的焦虑、抑郁评分为(30.13±4.78)分、(32.18±5.11)分,显著低于对照组;干预组较对照组心绞痛、肺部感染及心律失常发生率明显下降;且护理后干预组Barthel指数评分为(69.81±21.45)分,显著高于对照组的(51.15±19.67)分,差异均有统计学意义(均P<0.05)。结论对急性心肌梗死患者施以全面优质护理不仅可以有效改善患者的心理状况,提高患者的独立完成日常活动的能力,而且对降低并发症的发生率有显著效果,值得推广。

Objective To explore the effects of disease recovery and daily activity index in patients with acute myocardial infarction in the overall quality of care under the. Methods Selected 75 patients with acute myocardial infarction in our hospital from June 2011 to June 2014. On the basis of the implementation of the scheme before the implementation of time divided into 37 cases(denoted as control group) and after the implementation of the 38 cases(denoted as intervention group). The control group was given with routine care model; the intervention group was received comprehensive quality of nursing model. The Barthel index score and complications in patients with anxiety and depression scores, incidence rate were compared. Results In the intervention after the intervention anxiety group’s, depression score was(30.13±4.78),(32.18±5.11), were significantly lower than the control group. The control group in angina,pulmonary infection and the incidence of cardiac arrhythmias was significantly decreased compared with the interven tion group. And after the care, the intervention group’s Barthel index score was(69.81±21.45), significantly higher than(51.15±19.67) of the control group. The differences were statistically significant(P<0.05). Conclusion In patients with acute myocardial infarction with comprehensive quality care not only can effectively improve the psychological status of patients, improve the ability of daily activities in patients with complete independence, but also to reduce significantly the incidence of complications. It is worthy of promotion.