摘要
目的探讨“互联网+”的医院-社区-家庭三元联动心脏康复在急性心肌梗死PCI术后患者中的应用效果。方法选取2020年6月—2021年6月徐州市中心医院收治的110例急性心肌梗死PCI术后患者为研究对象,按照组间基本特征具有可比性的原则分为观察组和对照组,各55例。对照组采用常规心脏康复护理模式,观察组采用基于“互联网+”的医院-社区-家庭三元联动心脏康复护理模式。两组患者均持续干预6个月。比较两组患者干预前后心功能指标、血脂指标、运动耐力、Zung焦虑自评量表(SAS)与抑郁自评量表(SDS)评分和并发症发生率。结果“互联网+”的医院-社区-家庭三元联动心脏康复干预后,观察组脑钠肽(BNP)、左心室舒张末期内径(LVEDD)与收缩末期内径(LVESD)水平低于对照组;左心室射血分数(LVEF)和左心室后壁(LVPW)厚度水平高于对照组,差异均有统计学意义(P<0.05)。干预后观察组总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)水平低于对照组,高密度脂蛋白胆固醇(HDL-C)高于对照组,差异均有统计学意义(P<0.05)。干预后观察组6 min步行距离长于对照组,SAS评分、SDS评分低于对照组,差异均有统计学意义(P<0.05)。干预后观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论基于“互联网+”三元联动心脏康复干预,有助于提高急性心肌梗死PCI术后患者的心功能,降低血脂指标,提高运动耐力,改善负性心理,降低并发症发生率。
Objective To explore the effect of"Internet+"hospital-community-family ternary linkage cardiac rehabilitation in patients after PCI after acute myocardial infarction.Methods 110 patients after PCI of acute myocardial infarction admitted to Xuzhou Central Hospital from June 2020 to June 2021 were selected as the study objects,and divided into observation group and control group according to the principle of comparable basic characteristics between groups,with 55 cases in each groups.The control group adopted the routine cardiac rehabilitation nursing model,and the observation group adopted the hospital-community-family linkage ternary nursing model for cardiac rehabilitation.Both groups had a continuous intervention for 6 months.Comparing cardiac function index,lipid index,exercise endurance,Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)scores and complication rate before and after the intervention.Results After the hospitalcommunity-home cardiac rehabilitation intervention,the levels of brain natriuretic peptide(BNP),left ventricular end diastolic diameter(LVEDD)and left ventricular end systolic diameter(LVESD)in the control group were lower than the left ventricular ejection fraction(LVEF)than the control group(P<0.05).After the intervention,the total cholesterol(TC),triglyceride(TG),low density lipoprotein cholesterol(LDL-C)were lower than the control group,and HD density lipoprotein cholesterol(HDL-C)was higher than the control group,and the difference was statistically significant(P<0.05).After the intervention,the 6 min walking distance of the observation group was longer than the control group,and the SAS score and SDS score were lower than the control group,and the difference was statistically significant(P<0.05).The incidence of complications after intervention in the observation group was lower than in the control group,significant(P<0.05).Conclusion Based on"Internet+"ternary linkage cardiac rehabilitation intervention,it is helpful to improve the cardiac function of patients after acute myocardial infarction,reduce blood lipid index,improve exercise endurance,improve negative psychology,and reduce the incidence of complications.
作者
赵颖
孙红侠
权慧
ZHAO Ying;SUN Hongxia;Quan Hui(Xuzhou Central Hospital,Xuzhou,221009,China)
出处
《护理实践与研究》
2023年第13期1998-2004,共7页
Nursing Practice and Research
关键词
互联网+
三元联动
心脏康复
急性心肌梗死
PCI术
心功能
血脂
运动耐力
心理状态
并发症
Internet+
Ternary linkage
Cardiac rehabilitation
Acute myocardial infarction
PCI operation
Cardiac function
Blood lipid
Exercise endurance
Psychological state
Complications
作者简介
第一作者:赵颖,本科,主管护师;通信作者:孙红侠,女,本科,副主任护师。
