系统心脏康复护理对急性心肌梗死患者经皮冠状动脉介入治疗术后心功能及预后的影响

[摘要] Abstract：Objective To investigate the influence of cardiac rehabilitation nursing on cardiac function and prognosis of acute myocardial infarction(AMI)patients undergoing percutaneous coronary intervention(PCI)therapy. Methods 〓Totally 70 AMI patients undergoing PCI were assigned to the observation group and the control group, with 35 cases in each group. Both two groups received routine care and discharge education, and the systematic nursing plan on cardiac rehabilitation was carried out in the observation group. The primary outcomes were left ventricular ejection fraction(LVEF), score of short form 36-item health survey(SF-36)and self-anxiety scale(SAS), and levels of blood glucose, total cholesterol(TC), triglyceride(TG), high-density lipoprotein(HDL)and low density lipoprotein(LDL). Results 〓The LVEF, HDL level and SF-36 score in the observation group were increased at 6 months after discharge compared with those at onset(P<0.05)and those in the control group(P<0.05). The levels of blood glucose, TC, TG, LDL and SAS score were decreased in the observation group at 6 months after discharge compared with those at onset(P<0.05)and those in the control group(P<0.05). Conclusion 〓The systematic nursing plan on cardiac rehabilitation is potentially effective to improve patients' cardiac function, and reduce the exposure to risk factors.

[学科分类] 护理学

[关键词] 康复护理;急性心肌梗死;经皮冠状动脉介入治疗术;心功能;生活质量