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]	刘海婷, 王咏梅, 郑贝贝, 蔡丽丽, 叶林斌, 吴佳芸, 宁丽, 李益民, 陈为霞. 冠心病合并糖尿病患者药物素养自评量表的编制及信效度检验[J]. 中华护理杂志, 2024, 59(9): 1065-1071.
[2]	李旭琴, 冯洁惠, 黄昉芳, 俞超, 梁诗雨, 王晓, 李旭芳, 朱含. 1例行机械循环辅助桥接心脏移植患者的术前护理[J]. 中华护理杂志, 2024, 59(9): 1114-1117.
[3]	贾晓静, 陈一竹, 许志英, 和霞, 耿超. 1例尿黑酸尿症双膝关节置换术后患者并发急性心肌梗死的护理[J]. 中华护理杂志, 2024, 59(9): 1118-1121.
[4]	周樊华, 甘霖, 梅艳丽, 杜芬, 严冶, 熊莉娟. 中西医结合病房患者入院护理评估单的研制及信效度检验[J]. 中华护理杂志, 2024, 59(7): 802-807.
[5]	陈钰妹, 赵惠芬, 赵晓珊, 赵梅晶, 彭玉美, 沈丽琴. 妊娠期糖尿病孕妇风险感知量表的编制及信效度检验[J]. 中华护理杂志, 2024, 59(6): 677-684.
[6]	王旋, 温贤秀, 苟莉, 周丽娟, 陈付利, 吴海燕, 王良. 心脏康复依从性评估工具测量学属性的系统评价[J]. 中华护理杂志, 2024, 59(6): 736-743.
[7]	刘建萍, 郭卫婷, 高伟, 王文君, 盛源, 范春梅, 鲁琦, 刘德山. 心脏康复患者运动恐惧体验质性研究的Meta整合[J]. 中华护理杂志, 2024, 59(4): 474-481.
[8]	朱忆宁, 赵宇涵, 吴瑛. 移动健康应用程序在冠心病患者二级预防中应用的范围综述[J]. 中华护理杂志, 2024, 59(17): 2156-2165.
[9]	王颖, 熊晓云, 刘梦蝶, 杨莹, 刘思, 陈华, 张美君, 向琴. 数智化干预技术在冠心病患者心理障碍中的应用进展[J]. 中华护理杂志, 2024, 59(16): 1956-1961.
[10]	田丹丹, 刘梦琪, 刘雅婷, 文晓慧, 崔旭, 张英群, 何平平. 阿尔茨海默病患者挑战性行为评估工具研究进展[J]. 中华护理杂志, 2023, 58(8): 1005-1011.
[11]	夏瑶瑶, 李颐, 熊晓云, 周亮, 王艳慧, 马兰英. 经皮冠状动脉介入治疗患者心脏康复信息需求和自我管理的研究[J]. 中华护理杂志, 2023, 58(4): 398-405.
[12]	苏瑾, 杨巧红, 李耀霞, 熊佳铭, 邱玮瑜. 中青年急性心肌梗死患者早期康复阶段恐惧疾病进展分型及影响因素分析[J]. 中华护理杂志, 2023, 58(4): 406-413.
[13]	郭卫婷, 刘建萍, 张晓雪, 张彬彬, 吴煜峥, 王文君. 远程心脏康复有效性及依从性的系统评价再评价[J]. 中华护理杂志, 2023, 58(4): 426-432.
[14]	芦秀燕, 迟琨, 郇姗姗, 公冶慧娟, 吴珂, 谢方瑜, 孙秀杰, 梁涛. 慢性心力衰竭患者远程照护护理问题评估指标的构建[J]. 中华护理杂志, 2023, 58(2): 165-170.
[15]	林思雅, 李漓, 谌靖霞, 任许艳. 新生儿舒适量表的翻译及在新生儿术后疼痛评估中的信效度检验[J]. 中华护理杂志, 2023, 58(2): 250-256.

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