重症冠心病患者心脏康复分级护理方案的制订与应用

doi:10.3761/j.issn.0254-1769.2022.04.002

中华护理杂志 ›› 2022, Vol. 57 ›› Issue (4): 395-400.DOI: 10.3761/j.issn.0254-1769.2022.04.002

重症冠心病患者心脏康复分级护理方案的制订与应用

吴岳(), 李庆印(), 赵冬云, 杨洋, 朱丽丽

100037 北京市中国医学科学院阜外医院心脏康复中心（吴岳）,护理部（李庆印）,冠心病重症监护室（赵冬云,杨洋,朱丽丽）

收稿日期:2021-04-29 出版日期:2022-02-20 发布日期:2022-02-11
通讯作者: 李庆印,E-mail： fuwainursing@163.com
作者简介:吴岳：女,硕士,主管护师,E-mail： wuyue1201@fuwaihospital.org
基金资助:
北京协和医学院学科建设-护理学(含卓越护理班)(2019E-XK08)

Formulation and application of cardiac rehabilitation grading nursing program in patients with severe coronary artery disease

WU Yue(), LI Qingyin(), ZHAO Dongyun, YANG Yang, ZHU Lili

Cardiac Rehabilitation Center,Fuwai Hospital CAMS&PUMC,Beijing,100037,China

Received:2021-04-29 Online:2022-02-20 Published:2022-02-11

摘要/Abstract

摘要：

目的制订并应用重症冠心病患者心脏康复分级护理方案,评价其应用效果。方法 2019年7月通过文献回顾和临床实践分析重症冠心病患者心脏康复护理特点及难点,成立专项管理小组,制订重症冠心病患者心脏康复分级护理方案,将该方案于2019年8月—2021年1月进行临床应用并收集相关资料。结果心脏康复分级护理方案共计应用于817例患者,转科前进阶至下地活动的患者有519例（63.5%）,发生不良事件13例（1.6%）。结论该方案可有效对重症冠心病患者进行危险分层,指导护士开展心脏康复护理干预。

关键词: 冠心病, 心脏康复, 护理评估, 急性心肌梗死

Abstract:

Objective To develop and implement a grading program of cardiac rehabilitation（CR）nursing intervention among the patients with severe coronary artery disease. Methods In July 2019,we started a specialized group to analyze the characteristics and difficulties of CR nursing among the patients with severe coronary artery disease through literature review and clinical practice. We formulated a program of cardiac rehabilitation grading nursing care and carried out it for clinical application and data collection during August 2019 to January 2021. Results Since the launch of CR grading care,a total of 817 patients with severe coronary artery disease have been included;519（63.5%）patients had underground activities before being discharged,and 13（1.6%）patients had adverse events. Conclusion The program can effectively provide the suitable CR nursing and satisfy the rehabilitation needs among patients with severe coronary artery disease.

Key words: Coronary Disease, Cardiac Rehabilitation, Nursing Assessment, Acute Myocardial Infarction

吴岳, 李庆印, 赵冬云, 杨洋, 朱丽丽. 重症冠心病患者心脏康复分级护理方案的制订与应用[J]. 中华护理杂志, 2022, 57(4): 395-400.

WU Yue, LI Qingyin, ZHAO Dongyun, YANG Yang, ZHU Lili. Formulation and application of cardiac rehabilitation grading nursing program in patients with severe coronary artery disease[J]. Chinese Journal of Nursing, 2022, 57(4): 395-400.

参考文献 12

[1]	Kureshi F, Kennedy KF, Jones PG, et al. Association between cardiac rehabilitation participation and health status outcomes after acute myocardial infarction[J]. JAMA Cardiol, 2016, 1(9):980-988. DOI PMID
[2]	中华医学会心血管病学分会预防学组, 中国康复医学会心血管病专业委员会. 冠心病患者运动治疗中国专家共识[J]. 中华心血管病杂志, 2015, 43(7):575-588.
	Chinese Medical Association,Society of Cardiology Prevention of Group,Chinese Association of Rehabilitation Medicine Cardiovascular Diseases Committee. Chinese experts’ consensus on exercise therapy for patients with coronary heart disease[J]. Chin J Cardiol, 2015, 43(7):575-588.
[3]	谷雨擎, 朱丽丽, 李庆印, 等. 急诊经皮冠状动脉介入治疗患者早期心脏康复护理方案的构建[J]. 中华护理杂志, 2021, 56(4):502-508.
	Gu YQ, Zhu LL, Li QY, et al. Construction of an early cardiac rehabilitation nursing practice program for patients after emergency percutaneous coronary intervention[J]. Chin J Nurs, 2021, 56(4):502-508.
[4]	急性ST段抬高型心肌梗死诊断和治疗指南（2019）[J]. 中华心血管病杂志, 2019(10):766-783.
	2019 Chinese Society of Cardiology (CSC) guidelines for the diagnosis and management of patients with ST-segment elevation myocardial infarction[J]. Chin J Cardiol, 2019(10):766-783.
[5]	JCS Joint Working Group. Guidelines for rehabilitation in patients with cardiovascular disease(JCS 2012)[J]. Circ J, 2014, 78(8):2022-2093. DOI URL
[6]	Thygesen K, Alpert JS, Jaffe AS, et al. Fourth universal definition of myocardial infarction(2018)[J]. Circulation, 2018, 138(20):e618-e651.
[7]	Kim C, Sung J, Lee JH, et al. Clinical practice guideline for cardiac rehabilitation in Korea:recommendations for cardiac rehabilitation and secondary prevention after acute coronary syndrome[J]. Korean Circ J, 2019, 49(11):1066-1111. DOI URL
[8]	中国医师协会心血管内科医师分会预防与康复专业委员会. 经皮冠状动脉介入治疗术后运动康复专家共识[J]. 中国介入心脏病学杂志, 2016, 24(7):361-369.
	Chinese Medical Association,Society of Cardiology Internal Medicine Branch of Cardiovascular Diseases Prevention and Rehabilitation Committee. Experts’ consensus on exercise rehabilitation for patients undergone percutaneous coronary intervention[J]. Chin J Interv Cardiol, 2016, 24(7):361-369.
[9]	Sumner J, Böhnke JR, Doherty P. Does service timing matter for psychological outcomes in cardiac rehabilitation? Insights from the National Audit of Cardiac Rehabilitation[J]. Eur J Prev Cardiolog, 2018, 25(1):19-28. DOI URL
[10]	刘莉莉, 林平, 赵振娟. 自我效能、社会支持及应对方式对急性心肌梗死患者心理弹性影响的路径分析[J]. 中华护理杂志, 2016, 51(1):21-25.
	Liu LL, Lin P, Zhao ZJ. A path analysis of impacts of self-efficacy,social support and coping style on resilience in acute myocardial infarction patients[J]. Chin J Nurs, 2016, 51(1):21-25.
[11]	周丽. 心血管疾病风险评估表在冠心病PCI患者术后康复中的应用[J]. 临床护理杂志, 2019, 18(4):51-53.
	Zhou L. Application of Cardiovascular Disease Risk Assessment Table in rehabilitation for coronary disease patients undergoing percutaneous coronary intervention[J]. J Clin Nurs, 2019, 18(4):51-53.
[12]	杜若飞, 王盼盼, 田丽, 等. 冠心病患者心脏康复依从性的研究进展[J]. 中华护理杂志, 2017, 52(10):1246-1251.
	Du RF, Wang PP, Tian L, et al. Research progress of cardiac rehabilitation adherence in patients with coronary heart disease[J]. Chin J Nurs, 2017, 52(10):1246-1251.

[1]	龚莉, 林茜, 董铭琦, 杜金磊, 诸帆, 蒋建萍, 赵红星, 邵圣文. 急性心肌梗死患者疲劳发展轨迹的调查研究[J]. 中华护理杂志, 2022, 57(2): 176-181.
[2]	郝瑞霞, 李育玲, 徐勇, 杨丽洁, 韩雪. 冠心病患者负性情绪智能化改善方案的制订及应用[J]. 中华护理杂志, 2021, 56(9): 1285-1292.
[3]	陆金玲, 许勤, 陈丽, 丁玲玉, 花红霞, 徐欣怡. 5种肌肉减少症筛查工具在胃癌患者术前营养评定中的应用比较[J]. 中华护理杂志, 2021, 56(9): 1299-1304.
[4]	余红雨, 杨巧红, 李耀霞, 柯琦琦. 中青年急性心肌梗死患者社会适应体验的Meta整合[J]. 中华护理杂志, 2021, 56(9): 1387-1393.
[5]	吴珍珍,张瑞,常艳,芦鸿雁. 衰弱表型和衰弱筛查量表在老年住院患者中的应用比较[J]. 中华护理杂志, 2021, 56(5): 673-679.
[6]	谷雨擎,朱丽丽,李庆印,赵冬云,韩宇,吴元,张峻. 急诊经皮冠状动脉介入治疗患者早期心脏康复护理方案的构建[J]. 中华护理杂志, 2021, 56(4): 502-507.
[7]	毛越,杨丹燕,冯佳,朱蓓蓓. 1例超声引导下经皮心肌内室间隔射频消融术患者的护理[J]. 中华护理杂志, 2021, 56(4): 589-592.
[8]	金建芬, 陆骏, 俞梦盈, 郑贝贝, 李益民, 宁丽, 汤阿毛, 吴清清, 王超群. 虚拟现实技术在心脏康复患者中的应用进展[J]. 中华护理杂志, 2021, 56(2): 206-211.
[9]	赵巧梅, 黄冰瑛, 柴佩飞, 梁江淑渊, 徐虹霞. 1例冠心病患者行肝胰十二指肠切除术后并发假性动脉瘤的护理[J]. 中华护理杂志, 2021, 56(12): 1835-1837.
[10]	马珂珂, 郭园丽, 董小方, 杨彩侠, 张盼, 王敏, 高欢欢. 河南省护士对脑卒中患者吞咽障碍筛查与评估的现状调查[J]. 中华护理杂志, 2020, 55(8): 1196-1200.
[11]	郭利敏, 孟萌, 关玉珠, 李乐之. 肝移植受者衰弱的研究进展[J]. 中华护理杂志, 2020, 55(8): 1265-1270.
[12]	赖粼, 丁四清, 钟竹青, 胡漫辉, 郑凤. 冠心病患者药物素养的研究进展[J]. 中华护理杂志, 2020, 55(8): 1276-1280.
[13]	裴菊红, 南锐伶, 陈海霞, 王亚莉, 张亚斌, 苟玲, 豆欣蔓. 智力障碍患者疼痛评估的研究进展[J]. 中华护理杂志, 2020, 55(7): 1102-1106.
[14]	蒲丛珊, 程洋, 董建俐, 沙丽艳. 居家失能老年人健康管理需求评估指标体系的构建[J]. 中华护理杂志, 2020, 55(2): 232-237.
[15]	涂加园,刘云,孙琳,陈学顺,聂时南,韩小琴,荆文华,喻海涛. 创伤患者低体温风险评估量表的编制及信效度检验[J]. 中华护理杂志, 2020, 55(12): 1813-1818.

重症冠心病患者心脏康复分级护理方案的制订与应用

Formulation and application of cardiac rehabilitation grading nursing program in patients with severe coronary artery disease

RichHTML

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献 12

相关文章 15

编辑推荐

Metrics