Abstract:

Objective To investigate knowledge and attitude towards cardiac rehabilitation（CR） of patients with acute myocardial infarction in Zhejiang Province. Methods Totally 195 patients with acute myocardial infarction in 7 hospitals in Zhejiang Province were conveniently included and investigated by a self-designed questionnaire. Results The mean score of knowledge about CR in 195 patients was 21.31±5.35;awareness about CR was 40.05±4.36. Educational level,economic burden,history of Percutaneous Coronary Intervention（PCI） and history of CR had impact on scores of knowledge and attitude towards CR（P<0.05）. Barriers for participating CR programs were long distance,heavy economic burden,older age,and lack of knowledge about CR（P<0.05）. Conclusion Knowledge and attitude about CR among patients with acute myocardial infarction in Zhejiang Province are in the middle and low level. Long distance,heavy economic burden,older age,and lack of knowledge about CR are barriers to participate in CR. Medical staff should strengthen the dissemination of CR knowledge for patients with acute myocardial infarction,and the holistic condition of the Hospital-Family-Community should be fully applied in carrying out CR projects.

Key words: Cardiac Rehabilitation, Myocardial Infarction, Rehabilitation Nursing

摘要：

目的 调查浙江省7所医院急性心肌梗死患者心脏康复知识与态度的现状。方法 便利抽取浙江省7所三级甲等医院的急性心肌梗死患者195例,采用自行编制的急性心肌梗死患者心脏康复知识与态度调查问卷进行调查。结果 195例患者心脏康复知识的得分为（21.31±5.35）分,心脏康复态度的得分为（40.05±4.36）分。不同文化程度、不同经济负担、是否有支架置入史等对患者心脏康复知识、态度的得分有影响（P<0.05）,路程远、经济负担重、高龄及对康复知识了解不足是患者参加心脏康复的影响因素,差异具有统计学差异（P<0.05）。结论 浙江省急性心肌梗死患者心脏康复知识及态度的得分均处于中低水平。路程远、经济负担重、高龄及对康复知识了解不足是患者参加心脏康复的阻力因素,提示医护人员需加强对急性心肌梗死患者心脏康复知识的传播,开展心脏康复项目时需充分考虑医院、社区、家庭的整体情况。

关键词: 心脏康复, 急性心肌梗死, 康复护理