互联网集中管理对急性心肌梗死经皮冠状动脉介入术治疗后 一期患者的康复效果
| 作者: |
1蔡丽丽,
1宋春梅,
1周瑛君,
2朱海娟
1 秦皇岛市第一医院CCU 2病区，河北 秦皇岛 066000 2 白求恩国际和平医院麻醉科，石家庄 050000 |
| 通讯: |
蔡丽丽
Email: 3347980338@qq.com |
| DOI: | 10.3978/j.issn.2095-6959.2018.09.022 |
| 基金: | 河北省卫生和计划生育委员会医学科学研究课题计划项目(20150389)。 |
摘要
目的：研究互联网集中管理对急性心肌梗死(acute myocardial infarction，AMI)经皮冠状动脉介入(percutaneous coronary intervention，PCI)术治疗后一期患者的康复效果。方法：选取2017年7月至12月于秦皇岛市第一医院接受经PCI术治疗的AMI患者124例。将所有患者按照随机数字表法均分成观察组和对照组，两组各62例。对照组术后予以常规护理干预，观察组术后则予以互联网集中管理干预。分别比较两组心脏不良事件发生情况，干预前后心理状态变化情况，干预前后日常生活活动能力情况以及干预后生活质量情况。结果：观察组心脏不良事件发生率为11.29%(7/62)，明显低于对照组的29.03%(18/62)，组间对比差异有统计学意义(P<0.05)。干预后观察组与对照组抑郁状态问卷(Depression Status Inventory，DSI)评分分别为51.29±6.33，62.17±6.79，均明显低于干预前，且观察组明显低于对照组，组间对比差异有统计学意义(均P<0.05)。干预后观察组与对照组Barthel指数分别为72.33±6.42，61.06±5.62，均明显高于干预前，且观察组明显高于对照组，组间对比差异有统计学意义(均P<0.05)。干预后观察组各项SF-36评分均明显高于对照组，组间对比差异有统计学意义(均P<0.05)。结论：互联网集中管理可有效提高AMI经PCI术治疗后一期患者的康复效果，有利于降低心脏不良事件发生率，改善心理状态以及生活质量，值得临床推广应用。
关键词：
急性心肌梗死；互联网；集中管理；经皮冠状动脉介入术；康复效果
Effect of Internet centralized management on the rehabilitation of acute myocardial infarction after percutaneous coronary intervention
CorrespondingAuthor: CAI Lili Email: 3347980338@qq.com
DOI: 10.3978/j.issn.2095-6959.2018.09.022
Foundation: This work was supported by Hebei Health and Family Planning Commission Medical Science Research Project Program, China (20150389).
Abstract
Objective: To study the effect of centralized management on acute myocardial infarction (AMI) after percutaneous coronary intervention (PCI) in the first stage of treatment. Methods: A total of 124 patients with AMI treated by PCI from July 2017 to December 2017 in First Hospital of Qinhuangdao were selected. All patients were divided into an observation group and a control group according to the random number table method, and 62 patients in each group. Routine nursing intervention was performed in the control group after operation, and the observation group had centralized management of Internet intervention after operation. The occurrence of adverse events in the two groups, the changes in the mental state before and after the intervention, the ability of daily life activities before and after the intervention, and the quality of life after the intervention were compared. Results: The incidence of adverse cardiac events in the observation group was 11.29% (7/62), which was significantly lower than 29.03% (18/62) in the control group, and the difference between the 2 groups was statistically significant (P<0.05). The DSI score after intervention in the observation group and the control group was 51.29±6.33 and 62.17±6.79, which were significantly lower than that before the intervention, and the observation group was significantly lower than that in the control group, the differences between the 2 groups were statistically significant (all P<0.05). After the intervention the Barthel index in the observation group and the control group were 72.33±6.42 and 61.06±5.62, which were significantly higher than that before intervention, and the observation group was significantly higher than that in the control group, the differences between the 2 groups was statistically significant (all P<0.05). All SF-36 scores in the observation group were significantly higher than those in the control group, and the difference was statistically significant (all P<0.05). Conclusion: Centralized management of Internet can effectively improve the recovery effect of AMI after PCI therapy, which can reduce the incidence of cardiac adverse events, improve psychological state and quality of life. It is worthy of clinical application.
Keywords：
acute myocardial infarction; internet; centralized management; percutaneous coronary intervention; rehabilitation effect