首页|I期心脏康复运动结合以时机理论为基础的延续护理干预对急性心肌梗死PCI术后患者心功能恢复及居家自我管理能力的影响

I期心脏康复运动结合以时机理论为基础的延续护理干预对急性心肌梗死PCI术后患者心功能恢复及居家自我管理能力的影响

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目的 探讨Ⅰ期心脏康复运动结合以时机理论为基础的延续护理干预在急性心肌梗死经皮冠状动脉介入(PCI)术后的应用.方法 选取2019 年2月至2022 年2月我院收治的150例急性心肌梗死PCI术后患者为研究对象,随机将其分为对照组和观察组,各 75 例.对照组接受常规护理,观察组在常规护理基础上实施Ⅰ期心脏康复运动结合以时机理论为基础的延续护理干预.比较两组的干预效果.结果 干预后,观察组的左室射血分数(LVEF)、每搏输出量(SV)及肌钙蛋白T(cTnT)水平高于对照组(P<0.05).干预后,观察组的自我护理能力测定量表(ESCA)各维度评分均高于对照组(P<0.05).干预后,观察组的生命质量测定量表(QOL-C30)各维度评分高于对照组(P<0.05).结论 Ⅰ期心脏康复运动结合以时机理论为基础的延续护理干预可提高急性心肌梗死PCI术后患者心功能恢复效果及居家自我管理能力,改善生活质量,值得推广.
Effects of stage I cardiac rehabilitation exercise combined with continuous nursing intervention based on timing theory on cardiac function recovery and home self-management ability of patients with acute myocardial infarction after PCI
Objective To explore the application of stage Ⅰ cardiac rehabilitation exercise combined with continuous nursing intervention based on timing theory for acute myocardial infarction after percutaneous coronary intervention(PCI).Methods A total of 150 patients with acute myocardial infarction after PCI admitted in our hospital from February 2019 to February 2022 were selected as the research objects,and the patients were randomly divided into control group and observation group,with 75 cases in each group.The control group received routine nursing,and the observation group implemented stage Ⅰ cardiac rehabilitation exercise combined with continuous nursing intervention based on timing theory on the basis of routine nursing.The intervention effects of the two groups were compared.Results After intervention,the levels of left ventricular ejection fraction(LVEF),stroke volume(SV)and cardiac troponin T(cTnT)in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of each dimension of Exercise of Self-Care Agency Scale(ESCA)in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of each dimension of Quality of Life Questionnaire-Core 30(QOL-C30)in the observation group were higher than those in the control group(P<0.05).Conclusion The stageⅠcardiac rehabilitation exercise combined with continuous nursing intervention based on timing theory can improve the cardiac function recovery effect and home self-management ability of patients with acute myocardial infarction after PCI,and elevate the quality of life,which is worthy of promotion.

stageⅠcardiac rehabilitation exercisetiming theorycontinuous nursingacute myocardial infarctionpercutaneous coronary interventioncardiac functionself-management ability

丁宝霞、韩俊、张亚静

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延安大学咸阳医院,陕西 咸阳,712000

Ⅰ期心脏康复运动 时机理论 延续护理 急性心肌梗死 经皮冠状动脉介入 心功能 自我管理能力

延安大学咸阳医院院内科学研究基金(2020)

2020ZX068

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(15)
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