摘要
目的:探讨居家自主式心脏康复护理对急性心肌梗死(AMI)经皮冠状动脉介入治疗(PCI)患者心功能、焦虑抑郁情绪、自我管理效能及术后并发症的影响。方法:选取某院在2021年6月—2023年7月收治的90例行PCI的AMI患者为研究对象,随机将其分成对照组和研究组,每组45例。对照组实施常规护理干预,研究组在对照组的基础上实施居家自主式心脏康复护理干预。比较两组患者的心功能指标[左室舒张末期内径(LVEDD)、左室射血分数(LVEF)、左室收缩末期内径(LVESD)、心排出血量(CO)]、焦虑抑郁情绪评分[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、自我管理效能[一般自我效能表(GSES)]、术后并发症及护理满意度。结果:干预6个月后,研究组和对照组LVEDD、LVESD及SAS、SDS评分较干预前均降低(t=13.855,9.137,37.567,26.315,9.042,5.164,29.820,20.138;P<0.05),且研究组低于对照组(t=4.404,3.786,7.571,7.923;P<0.05);研究组和对照组LVEF、CO、GSES评分较干预前均升高(t=9.103,11.381,19.624,7.226,5.438,14.925;P<0.05),且研究组高于对照组(t=2.543,5.045,4.651;P<0.05)。研究组术后并发症发生率(8.89%)低于对照组(31.11%)(χ^(2)=5.625,P<0.05)。研究组护理满意度(93.33%)高于对照组(71.11%)(χ^(2)=7.601,P<0.05)。结论:居家自主式心脏康复护理应用于行PCI的AMI患者,可提高心功能,改善焦虑抑郁情绪、自我管理效能,降低术后并发症发生率,提高护理满意度。
Objective:To investigate the effects of home-based cardiac rehabilitation nursing on cardiac function,anxiety and depression,self-management efficiency and postoperative complications in percutaneous coronary intervention(PCI)patients with acute myocardial infarction(AMI).Methods:A total of 90 AMI patients who underwent PCI in our hospital from June 2021 to July 2023 were selected as the research objects.They were randomly divided into a control group and a study group,with 45 cases in each group.The control group implemented routine nursing intervention,and the research group implemented home-based autonomous cardiac rehabilitation nursing intervention on the basis of the control group.The cardiac function indicators[left ventricular end diastolic diameter(LVEDD),left ventricular ejection fraction(LVEF),left ventricular end systolic diameter(LVESD),cardiac output(CO)],anxiety and depression scores[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],self-management efficacy[general self-efficacy scale(GSES)],postoperative complications,and nursing satisfaction were compared between two groups of patients.Results:After 6 months of intervention,LVEDD,LVESD,SAS and SDSscoresof the study group and control group decreased compared to before intervention(t=13.855,9.137,37.567,26.315,9.042,5.164,29.820,20.138;P<0.05),and the study group was lower than the control group(t=4.404,3.786,7.571,7.923;P<0.05).LVEF,CO and GSES scores of the study group and control group increased compared to before intervention(t=9.103,11.381,19.624,7.226,5.438,14.925;P<0.05),and the study group was higher than the control group(t=2.543,5.045,4.651;P<0.05).The incidence of postoperative complications in the study group(8.89%)was lower than that in the control group(31.11%)(χ^(2)=5.625,P<0.05).Nursing satisfaction in study group(93.33%)was higher than that in control group(71.11%)(χ^(2)=7.601,P<0.05).Conclusion:The application of home-based cardiac rehabilitation nursing in AMI patients undergoing PCI can improve cardiac function,improve anxiety and depression,self-management efficacy,reduce the incidence of postoperative complications,and improve nursing satisfaction.
作者
靳津鸽
张由建
王江东
李丹丹
JIN Jinge;ZHANG Youjian;WANG Jiangdong;LI Dandan(Henan Chest Hospital,Cardiovascular Internal Medicine Eight Wards,Zhengzhou 450008,China;Henan Chest Hospital,Nursing Department,Henan Province)
出处
《中国健康心理学杂志》
2024年第5期715-719,共5页
China Journal of Health Psychology
基金
国家临床重点专科建设项目经费资助项目(编号:LHGJ20190732)。
关键词
急性心肌梗死
经皮冠状动脉介入治疗
居家自主式心脏康复
心功能
自我管理
Acute myocardial infarction
Percutaneous coronary intervention
Home-based cardiac rehabilitation
Cardiac function
Self-management
作者简介
靳津鸽,E-mail:JG2024219@163.com。
