Askari Reihane, Yazdannik Ahmadreza, Shamsi Iraj
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.
J Educ Health Promot. 2025 Jul 31;14:276. doi: 10.4103/jehp.jehp_139_24. eCollection 2025.
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.
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.
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.
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.
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。
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。
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。
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。