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多轨道专科护理联合早期心脏康复护理在冠心病PCI术后的应用

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目的 探讨多轨道专科护理联合早期心脏康复护理在冠心病经皮冠状动脉介入术(PCI)术后的应用效果。方法 选取 2020 年 10 月至 2021 年 10 月在新乡医学院第三附属医院接受PCI治疗的 104 例冠心病患者,以随机数字表法分成干预组(n=52,多轨道专科护理联合早期心脏康复护理)与对照组(n=52,常规术后康复护理干预),比较两组心功能、运动耐量、负性情绪、生活质量。结果 干预后,两组左心室射血分数(LVEF)水平提高,左心室收缩末期内径(LVESd)、左心室舒张末期内径(LVEDd)水平降低,且干预组LVEF水平高于对照组,LVESd、LVEDd水平低于对照组,差异有统计学意义(P<0。05)。干预后,两组患者6 min步行试验距离(6MWT)水平提高,最大心率(HRmax)水平降低,且干预组 6MWT水平高于对照组,HRmax水平低于对照组,差异有统计学意义(P<0。05)。干预后,两组贝克焦虑量表(BAI)、贝克抑郁量表(BDI-Ⅱ)评分降低,且干预组BAI、BDI-Ⅱ评分低于对照组,差异有统计学意义(P<0。05)。干预后,两组生活质量综合评定问卷(WHOQOL-100)评分均提高,且干预组WHOQOL-100 评分高于对照组,差异有统计学意义(P<0。05)。结论 多轨道专科护理联合早期心脏康复护理干预应用于冠心病PCI术后患者中,能够促进患者心功能恢复,提高运动耐量,减轻负性情绪,提高生活质量。
Application of Multi-Track Specialty Nursing Combined with Early Cardiac Rehabilitation Nursing in Postoperative Coronary Heart Disease PCI
Objective To explore the application effect of multi-track specialty nursing combined with early cardiac rehabilitation nursing in postoperative percutaneous coronary intervention(PCI)of coronary heart disease.Methods A total of 104 patients with coronary heart disease who received PCI treatment in The Third Affiliated Hospital of Xinxiang Medical College from October 2020 to October 2021 were selected.They were divided into the intervention group(n=52,multi-track specialty nursing combined with early cardiac rehabilitation nursing)and the control group(n=52,conventional postoperative rehabilitation nursing intervention)using the random number table method.The heart function,exercise tolerance,negative emotions,and quality of life of the two groups were compared.Results After intervention,the left ventricular ejection fraction(LVEF)level of both groups increased,and the left ventricular end-systolic diameter(LVESd)and left ventricular end-diastolic diameter(LVEDd)decreased.The LVEF level of the intervention group was higher than that of the control group,and the LVESd and LVEDd levels were lower than those of the control group,with statistically significant differences(P<0.05).After intervention,the 6-minute walk test(6MWT)level of both groups of patients improved,and the maximum heart rate(HRmax)level decreased.The 6MWT level of the intervention group was higher than that of the control group,and the HRmax level was lower than that of the control group,with statistically significant differences(P<0.05).After intervention,the scores of the Beck Anxiety Inventory(BAI)and Beck Depression Inventory-II(BDI-II)of both groups decreased,and the BAI and BDI-Ⅱscores of the intervention group were lower than those of the control group,with statistically significant differences(P<0.05).After intervention,the scores of the World Health Organization Quality of Life questionnaires(WHOQOL-100)of both groups improved,and the WHOQOL-100 score of the intervention group was higher than that of the control group,with statistically significant differences(P<0.05).Conclusion The intervention of multi-track specialty nursing combined with early cardiac rehabilitation nursing in patients with coronary heart disease after PCI can promote the recovery of heart function,improve exercise tolerance,reduce negative emotions,and improve the quality of life.

coronary heart diseasepercutaneous coronary interventionmulti-track specialty nursingearly cardiac rehabilitation nursing

蓝云、高晓贝、张蕾

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新乡医学院第三附属医院 心血管内科二病区,河南 新乡 453000

冠心病 经皮冠状动脉介入术 多轨道专科护理 早期心脏康复护理

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(7)