五級法早期活動在急性心肌梗死患者護(hù)理中的應(yīng)用效果

張瑤

[摘要]目的 分析五級法早期活動在急性心肌梗死患者護(hù)理中的應(yīng)用效果。方法 選取2018年3月～2019年1月我院收治的40例急性心肌梗死患者作為研究對象，根據(jù)簡單隨機(jī)法分為對照組與觀察組，每組各20例。對照組給予常規(guī)護(hù)理，觀察組給予常規(guī)護(hù)理結(jié)合五級法早期活動護(hù)理干預(yù)，比較兩組患者的并發(fā)癥發(fā)生情況、住院時間、護(hù)理滿意度評分及生活質(zhì)量評分。結(jié)果 觀察組患者的并發(fā)癥總發(fā)生率低于對照組，住院時間短于對照組，護(hù)理滿意度評分、生活質(zhì)量評分均高于對照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 對急性心肌梗死患者實(shí)施五級法早期活動護(hù)理干預(yù)可以降低患者的并發(fā)癥總發(fā)生率，縮短住院時間，提高患者的護(hù)理滿意度及生活質(zhì)量。

[關(guān)鍵詞]五級法早期活動;急性心肌梗死;心臟康復(fù)護(hù)理;應(yīng)用效果

[中圖分類號] R473.5? ? ? ? ? [文獻(xiàn)標(biāo)識碼] A? ? ? ? ? [文章編號] 1674-4721（2019）8（c）-0226-03

[Abstract] Objective To analyze the application effect of the early activities of the five-stage method in patients with acute myocardial infarction （AMI）. Methods Forty AMI patients admitted to our hospital from March 2018 to January 2019 were selected as the subjects. They were divided into the control group and observation group according to simple randomization， with 20 cases in each group. In the control group， routine nursing was used， while in the observation group， routine nursing combined with five-stage early activity nursing was adopted. The occurrence of complications， hospital stay， nursing satisfaction score， and quality of life scores of the two groups were compared. Results The total incidence of complications in the observation group was lower than that in the control group， the hospital stay was shorter than that in the control group， and the nursing satisfaction score and quality of life score were higher than those in the control group， and the differences were statistically significant （P<0.05）. Conclusion Application of five-stage early activity in AMI patients can reduce the incidence of complications， shorten the hospital stay， and improve patients′ nursing satisfaction and quality of life.

[Key words] Five-stage early activity; Acute myocardial infarction; Cardiac rehabilitation nursing; Application effect

急性心肌梗死為臨床常見的心腦血管病癥。患者往往會伴隨心律失常、血壓較低等現(xiàn)象[1]。因患病急迫、病情不穩(wěn)定，導(dǎo)致急性心肌梗死患者產(chǎn)生焦躁、懼怕、不安等心理，刺激其交感神經(jīng)，引起患者血液內(nèi)兒茶酚胺升高，會加重其心肌載荷及病情[2]。在急性心肌梗死患者治療期間，配合有效、科學(xué)的護(hù)理措施具有積極意義，通過心臟康復(fù)護(hù)理對患者進(jìn)行早期活動，能夠促進(jìn)急性心肌梗死患者早日康復(fù)。本研究選取我院收治的40例急性心肌梗死患者作為研究對象，旨在探討五級法早期活動在急性心肌梗死患者護(hù)理中的應(yīng)用效果，現(xiàn)報(bào)道如下。

1資料與方法

1.1一般資料

選取2018年3月～2019年1月我院收治的40例急性心肌梗死患者作為研究對象，根據(jù)簡單隨機(jī)法分為對照組與觀察組，每組各20例。……