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Application effect of in-hospital + early-discharge home rehabilitation model in patients with acute coronary syndrome |
SHI Ying |
Department of Cardiovascular Medicine,the First People′s Hospital of Jingdezhen City,Jiangxi Province,Jingdezhen 333000,China |
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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.
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[1] |
杨露,谭梦彤,徐璐,等.同型半胱氨酸水平对急性冠脉综合征患者预后及出血风险的影响[J].中国循证心血管医学杂志,2020,12(1):31-34,38.
|
[2] |
孙丽娜,杨玲,杜雪平.急性冠脉综合征患者的社区心脏康复现状与发展[J].中华全科医师杂志,2019,18(6):596-599.
|
[3] |
桂沛君,吴坚,张勃,等.急性冠状动脉综合征患者PCI 术后综合心脏康复疗效观察[J].临床和实验医学杂志,2019,18(18):1959-1964.
|
[4] |
颜红兵,唐熠达,杨艳敏,等.急性冠状动脉综合征治疗指南[M].北京:中国环境科学出版社,2012:23-25.
|
[5] |
冷敏,荣山伟,曹国荣,等.居家自助式心脏康复方案在急性冠脉综合征行经皮冠状动脉介入术术后出院患者中的应用[J].解放军护理杂志,2019,36(1):53-56.
|
[6] |
陈佳,李丽辉.心脏康复理念指导下的护理对急性心肌梗死患者心率变异性及运动依从性的影响[J].贵州医药,2019,43(4):636-638.
|
[7] |
杨国慧,李树仁,刘璇,等.家庭自主式心脏运动康复对急诊经皮冠状动脉介入治疗后血管再通的急性心肌梗死患者的影响研究[J].实用心脑肺血管病杂志,2019,27(1):9-13,18.
|
[8] |
苗苗,张虹.急性冠脉综合征与非急性冠脉综合征病人戒烟状况分析[J].中西医结合心脑血管病杂志,2020,18(14):2284-2287.
|
[9] |
桂沛君,吴坚,张勃,等.不同类型急性冠状动脉综合征患者经皮冠状动脉介入治疗后心肺耐力特征分析[J].心肺血管病杂志,2019,38(10):1005-1011.
|
[10] |
窦幼萌,暴雨,卿华,等.出院前护理教育对老年急性冠脉综合征患者健康生活方式依从性的影响[J].中国妇幼健康研究,2016,27(1):126-127.
|
[11] |
周剑英,许晖,张芳,等.心脏康复分级诊疗模式在经皮冠状动脉介入术后患者中的应用[J].中华急危重症护理杂志,2020,1(6):495-499.
|
[12] |
汪晓慧,夏敬高,占晓燕,等.居家期心脏康复自助模式在急性冠状动脉综合征介入治疗患者中的应用研究[J].护理与康复,2020,19(7):1-4.
|
[13] |
郑立娟,张文梅,冷亮,等.急性冠脉综合征患者出院后接受延续性护理对复发率的影响[J].中国临床研究,2019,32(2):275-278.
|
[14] |
陶晶晶,刘娟,代雅琪,等.居家运动康复对冠心病患者介入术后焦虑情绪的影响[J].中华现代护理杂志,2017,23(7):960-965.
|
[15] |
夏丽芳,徐春芳,王融融,等.居家自我管理的干预模式对经皮冠状动脉介入治疗术后患者的影响[J].上海预防医学,2019,31(4):310-313.
|
[16] |
赵冬婧,汤玮,曹树军,等.院内+居家续贯式心脏康复模式在急性心肌梗死急诊冠状动脉介入治疗术后患者中的应用效果研究[J].中国全科医学,2020,23(16):73-78.
|
|
|
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