摘要目的 探讨住院期+出院早期居家康复模式在急性冠脉综合征患者中的应用效果。方法 选取2019年6月—2020年6月江西省景德镇市第一人民医院收治的60 例急性冠脉综合征患者作为研究对象，按随机数字表法分为对照组（30 例）和试验组（30 例）。对照组接受常规冠心病二级预防护理，试验组接受住院期+出院早期居家康复模式护理，两组均护理3 个月。比较两组患者护理前后的各项临床观察指标及6 min 步行距离。结果 护理前，两组的总胆固醇（TC）、低密度脂蛋白胆固醇（LDL-C）、体重指数（BMI）、收缩压、舒张压、戒烟率、6 min 步行距离比较，差异均无统计学意义（P＞0.05）；护理后，两组患者的TC、LDL-C 水平均低于护理前，且试验组的TC、LDL-C 水平均低于对照组，差异有统计学意义（P＜0.05）。试验组患者的戒烟率（60.00%）高于对照组（30.00%），差异有统计学意义（P＜0.05）。护理后，两组的6 min 步行距离均大于护理前，且试验组的6 min 步行距离大于对照组，差异有统计学意义（均P＜0.05）；两组的BMI、收缩压、舒张压水平比较，差异均无统计学意义（P＞0.05）。结论住院期+出院早期居家康复模式可有效改善急性冠脉综合征患者的TC、LDL-C 水平，增加6 min 步行距离，提高日常体力活动能力，应用效果较好。
Abstract：Objective To explore the application effect of in-hospital+early-discharge home rehabilitation model in patients with acute coronary syndrome.Methods From June 2019 to June 2020,60 patients with acute coronary syndrome admitted to the First People′s Hospital of Jingdezhen City in Jiangxi Province were selected as the research subjects.According to the random number table method,they were divided into the control group(30 cases)and the test group(30 cases).The control group received routine secondary prevention nursing of coronary heart disease,and the test group received in-hospital + early-discharge home rehabilitation model nursing.Both groups received nursing for 3 months.The clinical observation indexes and 6 min walking distance of the two groups before and after nursing were compared.Results There were no significant difference in the total cholesterol(TC),low-density lipoprotein cholesterol(LDL-C),body mass index(BMI),systolic blood pressure,diastolic blood pressure,smoking cessation rate,6-min walking distance in the first between the two groups before nursing(all P＞0.05).The levels of TC and LDL-C of the two groups of patients after nursing were lower than those before nursing,and the levels of TC and LDL-C of the test group after nursing were lower than those the control group,the differences were statistically significant(P＜0.05).The smoking cessation rate of patients in the test group(60.00%)was higher than that of the control group(30.00%),and the difference was statistically significant(P＜0.05).The 6-min walking distance in the two groups after nursing were greater than those before nursing,and the 6-min walking distance in the experimental group after nursing was greater than that in the control group,the differences were statistically significant(all P＜0.05).While there were no significant difference in the levels of the BMI,systolic blood pressure,and diastolic blood pressure between the two groups after nursing(all P＞0.05).Conclusion In hospital + early-discharge home rehabilitation mode can effectively improve the levels of TC and LDLC in patients with acute coronary syndrome,increase the 6-minute walking distance,and improve their daily physical activity ability,the application effect is better.
石莹. 住院期+出院早期居家康复模式在急性冠脉综合征患者中的应用效果[J]. 中国当代医药, 2021, 28(25): 247-249.
SHI Ying. Application effect of in-hospital + early-discharge home rehabilitation model in patients with acute coronary syndrome. 中国当代医药, 2021, 28(25): 247-249.
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