目的 观察早期康复护理方法对老年急性心肌梗死(acute myocardial infarction,AMI)患者的疗效。方法 选择106例老年AMI患者,其中康复组53例实施早期康复护理方法,对照组53例接受传统护理方法。比较两组的平均住院日、不良症状的发生及焦虑的程度。结果 康复组心绞痛的发生率明显低于对照组(P<0.05);康复组治疗后焦虑程度较治疗前明显减轻。两组比较,康复组不良症状发生、焦虑程度改善以及住院天数等方面均明显优于对照组。结论 早期康复护理干预对老年急性AMI患者效果肯定,可以明显降低心绞痛的发生率,减少不良事件发生,减轻焦虑的程度,缩短住院时间。
Abstract
Objective To study the nursing intervention effect on early rehabilitation of elderly patients with acute myocardial infarction (AMI) . Methods 106 elderly patients with myocardial infarction were recouited. Of them,53 patients shared early rehabilitation nursing, and the other 53 received conventional care. The average length of stay in hospital, incidence rate of adverse clinical events and anxiety level were compared between the two groups. Results The incidence rate of angina in rehabilitation group was significantly lower than that in the control group (P<0.05). The anxiety level of rehabilitation group significantly reduced after treatment than before. In rehabilitation group,less adverse symptoms occurred; the anxiety improvement and length of hospital stay were significantly better than those in the control group. Conclusions Early rehabilitation nursing care for elderly patients with AMI is effective and significantly reduces the incidence of angina and reduce adverse events, reduces the degree of anxiety and shortens hospital stay.
关键词
急性心肌梗死 /
心脏康复 /
护理干预 /
疗效
Key words
myocardial infarction /
cardiac rehabilitation /
nursing intervention /
effect
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] 陆再英, 钟南山. 内科学[M]. 7 版. 北京: 人民卫生出版社, 2008: 284.
[2] Taylor R S, Brown A, Ebraham S, et al. Exercise based rehabilitation for patient s with coronary heart disease: Systematic review and meta-analysis of randomized controlled trials [J]. Am J Med, 2004, 116(10): 682-692.
[3] 诸葛海鸿, 孙 琳. AMI患者2周康复护理的比较[J]. 实用护理杂志, 1999, 15(5):7-8.
[4] 汪雪玲, 徐丽华. 冠心病患者心脏康复及护理研究进展[J]. 上海护理, 2010, 10(2):69.
[5] 中华医学会心血管病学分会, 中华心血管病杂志编辑委员会.中国循环杂志编辑委员会. 急性 ST段抬高心梗诊断和治疗指南[J] . 中华心血管病杂志, 2001, 29(12):710-725.
[6] 吴文源. 焦虑自评量表[J]. 上海精神医学, 1990, 12 (增刊) : 441.
[7] Fletcher G F, Balady G J, Amsterdam E A, et al. Exercise standards for testing and training : a statement for health care professionals from the American Heart Association [J]. Circulation, 2001, 104(14):1694-1740.
[8] 曲戈宝, 王学文. AMI后心脏康复的几个有关问题[J] . 国外医学 (物理医学与康复学分册) , 1996, 16 (1) : 5.
[9] Yoshida T, Kohzuki M. Physical and psychological improvements after phaseⅡcardiac rehabilitation in patients with myocardial infarction [J]. Nurs Heal Sci, 1999, 1(22): 163-170.
[10] Yoshida T, Yoshida K, Yamamoto C, et al. Effects of a two week hospitalized phase Ⅱ cardiac rehabilitation program on physical capacity, lipid profiles and psychological variables in patient s with acute myocardial infarction [J] . Jpn Circ J, 2001, 65(2): 87- 93
[11] 李天心. 医学心理学[M] . 北京: 人民卫生出版社, 1991: 49.
[12] 刘胜男. 急性心肌梗塞32例护理分析[J]. Seek Medical and Ask the Medicine, 2012, 10(7): 747.
[13] 黄明英.急性心肌梗死患者2周康复程序的护理效果观察[J].护理研究, 2010,24(12):3153-3155.
[14] 董志群.急性心肌梗死患者临床早期康复锻炼与护理[J].护理实践与研究, 2011,8(8): 52-53.