Suppr超能文献

一项针对入住冠心病监护病房(CCU)的心肌梗死(MI)患者的健康指数教育项目的效果。

The effectiveness of an educational program on health index in MI patients hospitalized in CCU ward.

作者信息

Askari Reihane, Yazdannik Ahmadreza, Shamsi Iraj

机构信息

Special Care Nursing Department, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

Shahid Ashrafi Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

J Educ Health Promot. 2025 Jul 31;14:276. doi: 10.4103/jehp.jehp_139_24. eCollection 2025.

Abstract

BACKGROUND

Acute myocardial infarction (MI), as a serious and fatal heart disease and an important medical emergency, imposes the large financial burden on the health and treatment systems of countries and the family economy. In the meantime, starting rehabilitation programs after acute myocardial infarction as soon as possible can minimize the unfortunate and irreparable side effects. Therefore, the present study was conducted with the aim of evaluating the effectiveness of an educational program on health index in the MI patients hospitalized in CCU ward.

MATERIALS AND METHODS

This study was conducted as a clinical trial on 60 patients with acute myocardial infarction referred to hospitals affiliated to Isfahan University of Medical Sciences in 2022. The intervention group ( = 30) and control group ( = 30) were divided randomly. The intervention group received a 6-step rehabilitation program and the control group received the routine care. Before, during and after the intervention, the physiological indexes of the patients (systolic and diastolic blood pressure, heart rate, arterial blood oxygen saturation) were monitored. Data were analyzed using the SPSS version 20 software and descriptive and inferential statistical methods.

RESULT

Difference between changes in mean scores of the systolic and diastolic blood pressure, heart rate, arterial blood oxygen saturation between two groups, after the intervention compared to before the intervention was not statistically significant. Moreover, there was no significant difference, during the intervention compared to before the intervention and after the intervention ( > 0 05) but clinically significant improvement was observed.

CONCLUSION

Early movement of a patient with acute myocardial infarction does not cause negative changes in the physiological indexes and hemodynamic stability of the patient. Therefore, the use of early movement program in the treatment and care plan of acute myocardial infarction patients is safe and possible and useful considering the complications of prolonged immobility.

摘要

背景

急性心肌梗死(MI)作为一种严重的致命性心脏病和重要的医疗急症,给各国的卫生和治疗系统以及家庭经济带来了巨大的经济负担。与此同时,急性心肌梗死后尽快启动康复计划可以将不幸且不可挽回的副作用降至最低。因此,本研究旨在评估一项教育计划对入住冠心病监护病房(CCU)的心肌梗死患者健康指标的有效性。

材料与方法

本研究作为一项临床试验,于2022年对60例转诊至伊斯法罕医科大学附属医院的急性心肌梗死患者进行。随机分为干预组(n = 30)和对照组(n = 30)。干预组接受6步康复计划,对照组接受常规护理。在干预前、干预期间和干预后,监测患者的生理指标(收缩压和舒张压、心率、动脉血氧饱和度)。使用SPSS 20版软件以及描述性和推断性统计方法对数据进行分析。

结果

与干预前相比,干预后两组收缩压、舒张压、心率、动脉血氧饱和度的平均得分变化差异无统计学意义。此外,与干预前和干预后相比,干预期间差异无统计学意义(P>0.05),但观察到有临床意义的改善。

结论

急性心肌梗死患者早期活动不会导致患者生理指标和血流动力学稳定性出现负面变化。因此,考虑到长期不活动的并发症,在急性心肌梗死患者的治疗和护理计划中使用早期活动计划是安全、可行且有益的。

相似文献

3
Patient education in the management of coronary heart disease.冠心病管理中的患者教育
Cochrane Database Syst Rev. 2017 Jun 28;6(6):CD008895. doi: 10.1002/14651858.CD008895.pub3.
6
Sexual counselling for sexual problems in patients with cardiovascular disease.针对心血管疾病患者性问题的性咨询。
Cochrane Database Syst Rev. 2016 Feb 24;2(2):CD010988. doi: 10.1002/14651858.CD010988.pub2.
7
Creatine and creatine analogues in hypertension and cardiovascular disease.高血压和心血管疾病中的肌酸及肌酸类似物
Cochrane Database Syst Rev. 2011 Nov 9;2011(11):CD005184. doi: 10.1002/14651858.CD005184.pub2.
10
Exercise-based cardiac rehabilitation for coronary heart disease.基于运动的冠心病心脏康复
Cochrane Database Syst Rev. 2016 Jan 5;2016(1):CD001800. doi: 10.1002/14651858.CD001800.pub3.

本文引用的文献

5
Early mobilization post-myocardial infarction: A scoping review.心肌梗死后早期活动:范围综述。
PLoS One. 2020 Aug 17;15(8):e0237866. doi: 10.1371/journal.pone.0237866. eCollection 2020.
6
Early Mobilization in People With Acute Cardiovascular Disease.急性心血管疾病患者的早期活动
Can J Cardiol. 2021 Feb;37(2):232-240. doi: 10.1016/j.cjca.2020.03.038. Epub 2020 Apr 2.
10
Early Mobilization and Rehabilitation of Patients Who Are Critically Ill.危重症患者的早期活动与康复
Chest. 2016 Sep;150(3):722-31. doi: 10.1016/j.chest.2016.03.003. Epub 2016 Mar 18.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验