老年冠心病患者个体化早期康复护理研究

摘要

Objective:Through individual early rehabilitation nursing for elderly patients with coronary heart dis-ease (CHD),to explore the influence of early rehabilitation nursing on cardiac function and prognosis of patients with CHD,further explore the safe and effective individualized early rehabilitation nursing plan.Methods:120 eld-erly patients with CHD were randomly divided into two groups,60 cases in each group.Both groups were given the conventional drug treatment.In the first week,the patients in the control group were in bed,and in the second week activity gradually increased on the premise of bed rest.The patients in the treatment group were subjected to individualized rehabilitation plan for early rehabilitation.The auxiliary examination indexes,length of hospital stay, complications,daily life ability,and so on were compared between two groups before and after treatment.Results:After treatment,the myocardial enzymes,cardiac troponin I (TNI),and brain natriuretic peptide (BNP)levels were lower,and the LVEF was higher in the treatment group than in the control group (P <0.05 ).After treat-ment,the hospital stay and duration of vasodilators used in the treatment group were shorter than in the control group,and Barthe index was higher in the treatment group than in the control group (P <0.05).After treatment, there was no significant difference in left ventricular diastolic diameter,complications and hospitalization cost be-tween two groups.Conclusion:The individualized early rehabilitation nursing plan was safe and feasible,which can effectively improve the heart function,and shorten hospital stay of patients with CHD.%目的：：通过对老年冠心病患者进行个体化早期康复护理,探讨早期康复护理对老年冠心病患者心功能及预后的影响,进一步探索安全、有效的个体化早期康复护理方案。方法：将120例老年冠心病患者随机分为2组,每组60例,2组均予常规的药物治疗,对照组按照第1周绝对卧床,第2周在卧床体息为主的前提下逐渐增加活动的常规护理。观察组制定个体化早期康复方案进行早期康复。结果：治疗10d 后,观察组肌酸肌酶、肌钙蛋白 I (TNI)、脑尿钠肽(BNP)水平均明显低于治疗前及对照组(P <0.05),左心室射血分数(LVEF)及日常生活能力评定(Barthe 指数)高于治疗前及对照组(P <0.05)；对照组治疗前后心肌酶、TNI、BNP 及 LVEF 比较差异无统计学意义,2组治疗后 LVD 比较差异无统计学意义。观察组在住院时间及应用扩血管药物时间短于对照组(P <0.05),2组治疗后出现并发症例数及住院费用方面比较差异无统计学意义。结论：个体化早期康复护理方案安全可行、能够有效改善患者的心功能,缩短住院时间。