冠状动脉介入术后心脏康复护理对心肌梗死患者心功能恢复及负性情绪的影响

Effect of cardiac rehabilitation care after coronary intervention on cardiac function recovery and negative mood in patients with myocardial infarction.

作者信息

Yang Ming, Huang Yuan-Tao, Hu Xi-Wen, Wu Chun-Ling

机构信息

Division of Cardiovascular First Ward, Departments of Internal Medicine, Liyuan Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430077, Hubei Province, China.

Division of Cardiovascular First Ward, Departments of Internal Medicine, Jianli People's Hospital, Jianli 433300, Hubei Province, China.

出版信息

World J Clin Cases. 2024 Jan 6;12(1):59-67. doi: 10.12998/wjcc.v12.i1.59.

DOI:10.12998/wjcc.v12.i1.59

PMID:38292645

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10824183/

Abstract

BACKGROUND

Cardiovascular disease, particularly myocardial infarction (MI) profound impact on patients' quality of life and places a substantial burden on the healthcare and economy systems. Developments in medical technology have led to the emergence of coronary intervention as an essential method for treating MI.

AIM

To assess the effects of cardiac rehabilitation care on cardiac function recovery and negative emotions in MI after coronary intervention.

METHODS

This study included a total of 180 patients with MI during the period from June 2022 to July 2023. Selected patients were divided into two groups: An observation group, which receiving cardiac rehabilitation care; a control group, which receiving conventional care. By comparing multiple observation indicators such as cardiac function indicators, blood pressure, exercise tolerance, occurrence of adverse cardiac events, and negative emotion scores between the two groups of patients. All the data were analyzed and compared between two groups.

RESULTS

There were 44 males and 46 females in the observation group with an average age of 36.26 ± 9.88 yr; there were 43 males and 47 females in the control group, with an average age of 40.87 ± 10.5 yr. After receiving the appropriate postoperative nursing measures, the results of the observation group showed significant improvement in several indicators compared with the control group. Indicators of cardiac function, such as left ventricular end-diastolic internal diameter and left ventricular ejection fraction were significantly better in the observation group than in the control group ( < 0.05). Exercise endurance assessment showed that the 6-minute walking test distance was significantly increased in the patients of the observation group ( < 0.01). In addition, the incidence of adverse cardiac events was significantly lower in the observation group, and negative mood scores were significantly reduced ( < 0.05).

CONCLUSION

Cardiac rehabilitation care after coronary intervention has a significant positive impact on functional recovery. This emphasizes the importance of cardiac rehabilitation care to improve patient recovery.

摘要

背景

心血管疾病，尤其是心肌梗死（MI）对患者的生活质量产生深远影响，并给医疗保健和经济系统带来沉重负担。医疗技术的发展导致冠状动脉介入治疗成为治疗MI的重要方法。

目的

评估心脏康复护理对冠状动脉介入治疗后MI患者心功能恢复及负面情绪的影响。

方法

本研究共纳入2022年6月至2023年7月期间的180例MI患者。将入选患者分为两组：观察组接受心脏康复护理；对照组接受常规护理。通过比较两组患者的心功能指标、血压、运动耐力、不良心脏事件发生率及负面情绪评分等多项观察指标。对两组所有数据进行分析比较。

结果

观察组男44例，女46例，平均年龄36.26±9.88岁；对照组男43例，女47例，平均年龄40.87±10.5岁。接受适当的术后护理措施后，观察组多项指标结果与对照组相比有显著改善。观察组的心功能指标，如左心室舒张末期内径和左心室射血分数明显优于对照组（<0.05）。运动耐力评估显示，观察组患者的6分钟步行试验距离显著增加（<0.01）。此外，观察组不良心脏事件发生率显著降低，负面情绪评分显著降低（<0.05）。