经皮冠状动脉介入治疗患者心脏康复的清单制管理
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女,本科,副主任护师,学科护士长

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安徽省心血管病研究所2018年度第二批科研项目(KF2018007)


Checklist management in cardiac rehabilitation of patients after percutaneous coronary intervention
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    目的 探讨清单制管理在急性心肌梗死行经皮冠状动脉介入治疗患者心脏康复中的应用效果。方法将行经皮冠状动脉介入治疗的急性心肌梗死患者572例按照随机数字表法分为干预组(n=279)及对照组(n=293)。对照组采取常规管理模式,干预组应用清单制管理模式进行心脏康复护理,比较两组心脏功能改善情况、院内心血管事件发生情况及衰弱得分。结果出院时干预组左心室射血分数改善情况显著优于对照组,院内心力衰竭、心律失常发生率及衰弱得分显著低于对照组(P<0.05,P<0.01)。结论对急性心肌梗死行经皮冠状动脉介入治疗 患者实施清单制管理模式的心脏康复,可改善患者心脏功能,降低患者院内心血管事件发生率,改善患者衰弱症状,促进患者康复。

    Abstract:

    Objective To explore the application effect of checklist management in cardiac rehabilitation of patients with acute myocardial infarction after percutaneous coronary intervention (PCI). Methods Totally 572 acute myocardial infarction patients undergoing PCI were divided into an intervention group (n=279) and a control group (n=293) using a random number table. The control group adopted the routine management model, while the intervention group used the checklist management model in cardiac rehabilitation. The improvement of cardiac function, the number of cardiovascular events in hospital and frailty score between the two groups were compared. Results The improvement of left ventricular ejection fraction of the intervention group was significantly better than that of the control group, and its incidence of heart failure and cardiac arrhythmia, and the frailty score were significantly lower than those of the control group (P<0.05, P<0.01). Conclusion The implementation of checklist management model in cardiac rehabilitation of acute myocardial infarction patients after PCI, can improve patients′ cardiac function, reduce the incidence of cardiovascular events during hospitalization, improve the patient′s debilitating symptoms,and improve their rehabilitation.

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曹教育,孙盼盼,欧安平,陈霞,姚勋霞,余晓凡.经皮冠状动脉介入治疗患者心脏康复的清单制管理[J].护理学杂志,2022,37(2):1-4

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  • 收稿日期:2021-08-01
  • 最后修改日期:2021-09-28
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  • 在线发布日期: 2023-08-28