Application of a modified version of early cardiac rehabilitation program in patients with acute ST-segment elevation myocardial infarction treated by percutaneous coronary intervention

doi:10.3761/j.issn.0254-1769.2020.09.009

Abstract

Abstract:

Objective To evaluate the application and effects of a modified version of early cardiac rehabilitation program in patients with acute ST-segment elevation myocardial infarction treated by Percutaneous Coronary Intervention（PCI）.Methods Totally 112 patients with acute ST-segment elevation myocardial infarction undergoing PCI enrolled in Coronary Care Unit（CCU） were randomized into a control group and an experimental group with 56 cases in each group. The experimental group was given a modified version of the early cardiac rehabilitation program,while the control group received routine exercise training. The Activity of Daily Living Scale（ADL）,left ventricular ejection fraction（LVEF）,the length of hospital stay and the incidence of adverse events were compared in both groups before the intervention and at 7th day after the intervention,and the satisfaction of patients was investigated through interviews.Results After a week of interventions,results of ADL and LVEF in the experimental group was significantly higher than those in the control group. The length of hospital stay in the experimental group was shorter than that in the control group. The differences of 3 statistical results were statistically significant（P<0.01）. No adverse events occurred in both groups. Participants in the experimental group claimed that the modified rehabilitation program could be used to help them recover their self-care ability and rebuild their confidence to return to life according to patients own conditions as soon as possible,and all of them could cooperate actively.Conclusion The modified version of the early cardiac rehabilitation program is safe and effective that can be used to accelerate the rehabilitation of patients with acute myocardial infarction after PCI,increase LVEF,improve the daily self-care ability of patients,shorten the length of hospitalization,and improve the quality of life of patients.

Key words: Myocardial Infarction, Percutaneous Coronary Intervention, Early Recovery, Nursing Care

摘要：

目的探讨改良早期心脏康复方案在急性心肌梗死行经皮冠状动脉介入术患者中的应用效果。方法纳入冠心病监护病房112例急性ST段抬高型心肌梗死行经皮冠状动脉介入术后的患者,随机分为试验组和对照组,每组各56例。试验组给予改良早期心脏康复方案进行锻炼,对照组给予早期心脏康复方案进行锻炼。比较两组干预前及干预后第7天的日常生活能力、左心室射血分数、冠心病监护病房住院天数及不良事件发生率。结果干预7d后,试验组的日常生活能力、左心室射血分数高于对照组,试验组的住院天数少于对照组,差异均有统计学意义（P<0.01）;试验组和对照组均无不良事件发生。结论改良早期心脏康复方案安全、有效,可促进急性心肌梗死行冠状动脉介入治疗术后患者的康复,增加左心室射血分数,提高患者日常自理能力并缩短住院时间,提高患者生活质量。

关键词: 心肌梗死, 经皮冠状动脉介入, 早期康复, 护理

FENG Shushuang,HUA Jun,WEI Ruihong,ZHANG Yaofeng,LIN Yongrong,LIN Ying,YANG Xuehui,LIN Bingxun,YUAN Yonghong,WANG Wei,LIU Hui. Application of a modified version of early cardiac rehabilitation program in patients with acute ST-segment elevation myocardial infarction treated by percutaneous coronary intervention[J]. Chinese Journal of Nursing, 2020, 55(9): 1330-1334.

冯舒爽,华俊,魏睿宏,张耀峰,林雍容,林映,杨雪慧,林冰栒,袁永红,王伟,刘慧. 改良早期心脏康复方案在经皮冠状动脉介入术后患者中的应用[J]. 中华护理杂志, 2020, 55(9): 1330-1334.

Figures/Tables 4

References 21

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