摘要
目的探讨渐进式Ⅰ、Ⅱ期心脏康复护理对冠心病经皮冠状动脉介入术(PCI)术后患者心功能、日常生活能力的影响。方法选择2021年1月—2023年1月该院收治的166例冠心病PCI术后患者为研究对象,以患者采用的康复方案不同为依据分组,最终对照组和研究组各纳入83例研究对象。对照组采用常规康复护理,研究组联合开展渐进式Ⅰ、Ⅱ期心脏康复护理。对比两组心功能、日常生活能力、运动耐力及生活质量改善情况,并记录两组不良事件发生率。结果干预前,两组心功能指标相比,差异无统计学意义(P>0.05);干预后,研究组左心射血分数为(56.58±4.07)%,二尖瓣口舒张早期血流速度峰值/左心房舒张晚期血流速度峰值为(1.46±0.23),均较对照组高,左室收缩末期内径为(21.56±2.13)mm,左室舒张末期内径为(48.73±4.36)mm,均较对照组短,组间差异有统计学意义(P<0.05)。干预前,两组日常生活能力量表(ADL)评分与6 min步行距离(6MWD)相比,组间差异无统计学意义(P>0.05);干预后,研究组ADL评分较对照组低,6MWD较对照组长,组间差异有统计学意义(P<0.05)。研究组不良心血管事件发生率较对照组低,差异有统计学意义(P<0.05)。干预前,两组明尼苏达心衰生活技师量表(MLHFQ)各领域评分及总分相比,差异无统计学意义(P>0.05);干预后,研究组MLHFQ各领域评分及总分均较对照组低,组间差异有统计学意义(P<0.05)。结论对冠心病PCI术后患者实施渐进式Ⅰ、Ⅱ期心脏康复护理对可有效改善患者的心功能,提高患者的日常生活能力及运动耐力,降低不良事件发生风险,对改善患者生活质量具有促进作用。
Objective To investigate the effects of progressive phase I and II cardiac rehabilitation care on cardiac function and ability to perform activities of daily living of patients with coronary heart disease after PCI surgery.Methods 166 patients with coronary heart disease after PCI admitted to the hospital from January 2021 to January 2023 were selected as the study subjects.They were grouped based on different rehabilitation plans used by the patients.Finally,83 patients were included in the control group and 83 patients in the study group.The control group received routine rehabilitation care,while the research group jointly carried out progressive phase I and II cardiac rehabilitation care.Compare the improvement of cardiac function,ability of daily life,exercise endurance,and quality of life in the two groups,and recording the adverse event incidence rate.Results Before intervention,there was no difference in cardiac function indexes between the two groups(P>0.05);after intervention,the left ventricular ejection fraction was(56.58±4.07)%,and the ratio of early diastolic mitral flow velocity to late diastolic left atrial flow velocity was(1.46±0.23)in the study group,which were higher than those in the control group,the left ventricular end-systolic diameter was(21.56±2.13)mm,and the left ventricular end-diastolic diameter was(48.73±4.36)mm,which were shorter than those of the control group,and the difference was statistically significant between the two groups(P<0.05).Before intervention,there was no difference between the two groups in terms of Activity of Daily Living(ADL)score and 6 minute Walking Distance(6MWD)(P>0.05).After intervention,the study group had lower ADL scores and higher 6MWD than the control group,and the differences were statistically significant between the two groups(P<0.05).The incidence of adverse cardiovascular events was lower in the study group than in the control groupthe difference was statistically significant(P<0.05).Before the intervention,there was no difference in the scores of Minnesota Living with Heart Failure Questionnaire(MLHFQ)domains and total scores between the two groups(P>0.05).After the intervention,the scores of MLHFQ domains and total scores of the study group were lower than those of the control group the difference was statistically significant between the two groups(P<0.05).Conclusion The implementation of progressive phase I and II cardiac rehabilitation nursing care for postoperative patients with coronary heart disease after PCI surgery can effectively improve cardiac function,enhance daily living ability and exercise endurance,reduce the risk of adverse events,and contribute to the improvement of patients'quality of life.
作者
熊晓珊
XIONG Xiaoshan(Department of Internal Medicine,Mengyin County Maternal and Child Health Service Center,Linyi Shandong,276200,China)
出处
《反射疗法与康复医学》
2023年第14期163-166,共4页
Reflexology And Rehabilitation Medicine
关键词
冠心病
渐进式Ⅰ、Ⅱ期心脏康复护理
心功能
ADL评分
不良事件
Coronary heart disease
ProgressiveⅠ,Ⅱcardiac rehabilitation nursing
Heart function
ADL score
Adverse event
作者简介
熊晓珊(1970-),女,山东临沂人,本科,主管护师,研究方向:内科护理。
