世界睡眠医学杂志2024,Vol.11Issue(5) :1128-1130.DOI:10.3969/j.issn.2095-7130.2024.05.052

医护一体化康复护理对经皮冠状动脉介入术术后患者康复及睡眠质量的影响

Impact of Integrated Medical and Nursing Rehabilitation Nursing on the Rehabilitation and Sleep Quality of Patients after Percutaneous Coronary Intervention Surgery

叶峰 林琦 黄佩云
世界睡眠医学杂志2024,Vol.11Issue(5) :1128-1130.DOI:10.3969/j.issn.2095-7130.2024.05.052

医护一体化康复护理对经皮冠状动脉介入术术后患者康复及睡眠质量的影响

Impact of Integrated Medical and Nursing Rehabilitation Nursing on the Rehabilitation and Sleep Quality of Patients after Percutaneous Coronary Intervention Surgery

叶峰 1林琦 1黄佩云1
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作者信息

  • 1. 福建省立医院急诊科/福建医科大学省立临床医学院/福建省急诊医学重点实验室/福建省急诊医学研究所/福建省急救中心,福州,350000
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摘要

目的:探讨急性心肌梗死伴睡眠障碍患者经皮冠状动脉介入术(PCI)术后医护一体化康复护理的效果.方法:选取2021年1月至2022年12月福建省立医院急诊科接受PCI治疗的急性心肌梗死伴睡眠障碍患者116例作为研究对象,以随机抽签法分为对照组和观察组,每组58例.对照组给予常规护理,观察组在对照组基础上予医护一体化康复护理,比较2组护理效果.结果:2组康复效果相关指标比较差异有统计学意义(P<0.05).护理后,观察组匹兹堡睡眠质量指数(PSQI)各项评分显著降低于对照组(P<0.05),2组患者护理前后PSQI各项评分比较差异有统计学意义(P<0.05).2组患者护理后中文版心理弹性量表(CDRISC)各项评分较本组护理前均升高(P<0.05),且观察组护理后CDRISC各项评分均高于对照组(P<0.05).结论:医护一体化康复护理可提升急性心肌梗死伴睡眠障碍接受PCI术后患者的睡眠质量,缓解负面情绪,提升康复效果.

Abstract

Objective:Exploring the effect of integrated medical and nursing rehabilitation nursing after percutaneous coronary in-tervention(PCI)in patients with acute myocardial infarction and sleep disorders.Methods:A total of 116 patients with acute my-ocardial infarction and sleep disorders who received PCI treatment in the Emergency Department of Fujian Provincial Hospital from January 2021 to December 2022 were selected and randomly divided into a control group and a treatment group,with 58 ca-ses in each group.The control group received routine care,while the treatment group received integrated medical and nursing reha-bilitation care on the basis of the control group.The nursing effects of the two groups were compared.Results:There is a statisti-cally significant difference(P<0.05)in the comparison of rehabilitation effect related indicators between the two groups.After nursing,the Pittsburgh Sleep Quality Index(PSQI)scores of the treatment group significantly decreased(P<0.05),and there was a statistically significant difference in PSQI scores between the two groups of patients before and after nursing(P<0.05).The scores of the Chinese version of the Psychological Resilience Scale(CDRISC)were higher in both groups of patients after nursing compared to before nursing(P<0.05),and the CDRISC scores in the treatment group were higher than those in the control group after nursing(P<0.05).Conclusion:Integrated medical and nursing rehabilitation nursing can improve the sleep quality of pa-tients with acute myocardial infarction and sleep disorders after PCI,alleviate negative emotions,and enhance rehabilitation effec-tiveness.

关键词

急性心肌梗死/经皮冠状动脉介入术/睡眠障碍/医护一体化康复护理/术后康复/心理弹性

Key words

Acute myocardial infarction/Percutaneous coronary intervention/Sleep disorders/Integrated medical and nursing re-habilitation nursing/Postoperative rehabilitation/Psychological resilience

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出版年

2024
世界睡眠医学杂志

世界睡眠医学杂志

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