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优化康复护理流程改善PCI术后患者心肺功能的效果评估

Evaluation of the Effect of Optimizing Rehabilitation Nursing Process to Improve the Cardiopulmonary Function of Patients after PCI
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摘要 目的:探讨优化康复护理流程改善经皮冠脉介入治疗(PCI)术后患者心肺功能的临床效果。方法:纳入2019年1-12月笔者所在医院诊治的100例PCI术患者为研究对象,并按随机抽样法分为两组,对照组(n=50)采用常规康复护理流程,研究组(n=50)采用优化康复护理流程,两组均干预12周,对比两组康复结果。结果:干预后研究组左心室射血分数、最大摄氧量均高于对照组,差异均有统计学意义(t=9.098、8.400,P<0.001);干预后研究组PHQ-15评分低于对照组,差异有统计学意义(t=11.059,P<0.001);研究组术后6个月心脏不良事件发生率及再住院率均低于对照组,差异均有统计学意义(χ2=4.396、5.005,P=0.036、0.025)。结论:优化康复护理流程在改善PCI术后患者心肺功能方面效果突出,可有效提高患者术后生活质量水平,并减少心脏不良事件发生的风险,避免再住院,可借鉴。 Objective:To explore the clinical effect of optimizing rehabilitation nursing process to improve the cardiopulmonary function of patients after percutaneous coronary intervention (PCI).Method:From January to December 2019,100 patients with PCI admitted to our hospital were selected,and were divided into two groups according to the random sampling method,the control group (n=50) adopted the routine rehabilitation nursing process,and the study group (n=50) adopted the optimizing rehabilitation nursing process,both groups were interented for 12 weeks and the rehabilitation results of the two groups were compared.Result:After intervention,the left ventricular ejection fraction and the maximum oxygen uptake in the study group were higher than those in the control group,the differences were statistically significant (t=9.098,8.400,P<0.001).After intervention,PHQ-15 score in the study group was lower than that in the control group,the difference was statistically significant (t=11.059,P<0.001).The incidence of cardiac adverse events and rehospitalization rates in the study group were lower than those in the control group 6 months after surgery,the differences were statistically significant (χ~2=4.396,5.005,P=0.036,0.025).Conclusion:The optimizing rehabilitation nursing process can improve the cardiopulmonary function of patients after PCI,improve the quality of life,reduce the risk of adverse cardiac events,and avoid hospitalization,which can be used for reference.
作者 曹宏玲 汪琦 彭淑华 CAO Hongling;WANG Qi;PENG Shuhua(Xiaogan Hospital Affiliated to Wuhan University of Science and Technology,Xiaogan 432000,China;不详)
出处 《中外医学研究》 2021年第3期97-99,共3页 CHINESE AND FOREIGN MEDICAL RESEARCH
基金 湖北省卫生健康委2019年度第一批联合基金立项项目(WJ2019H248)。
关键词 优化康复护理流程 经皮冠脉介入治疗 心肺功能 Optimizing rehabilitation nursing process Percutaneous coronary intervention Cardiopulmonary function
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