Intervention of early rehabilitation nursing on the prognosis of elderly patients with myocardial infarctionand arrhythmia
早期康复护理对老年心肌梗死合并心律失常患者预后的干预研究

摘要

目的 本研究对老年 AMI 合并心律失常患者进行早期康复护理干预，评估其应用价值。方法 对 2020 年 1 月至 2021 年 1 月我院收治的 100 例 AMI 合并心律失常患者进行观察研究，将这 100 例患者 随机分为研究组（n=50）和对照组（n=50）。综合比较分析两组护理前后心功能指标、日常生活活动能力 和并发症发生率。结果 护理前两组心功能各项评分和 BI 均无明显差异（P＞0.05），但护理后，两组的 HR 和 LVWP 评分均下降，LVEF 和 SV 评分以及 BI 均升高（P＜0.001），此外，研究组的 HR 和 LVWP 评分低于对照组（P＜0.001），而 LVEF 和 SV 评分以及 BI 较高（P＜0.01）。此外，研究组的并发症发生 率显著低于对照组（P＜0.05）。结论 对老年 AMI 合并心律失常的患者实施早期康复护理，可以显著增强 其身体机能和 ADL，并降低并发症的发生率，改善预后。

Abstract

Objective To evaluate the application value of early rehabilitation nursing intervention in elderly AMI patients with arrhythmia.
Methods 100 AMI patients with arrhythmia admitted to our hospital from January 2020 to January 2021 were observed and studied. The 100 patients were randomly divided into study group (n=50) and control group (n=50). The indexes of cardiac function, activities of daily living and the incidence of complications were compared between the two groups before and after nursing.
Results There was no significant difference in cardiac function scores and BI between the two groups before nursing (P> 0.05), but after nursing, HR and LVWP scores decreased, LVEF and SV scores and BI increased (P<0.001). In addition, HR and LVWP scores in the study group were lower than those in the control group (P<0.001), while LVEF and SV scores and BI were higher (P<0.01). In addition, the incidence of complications in the study group was significantly lower than that in the control group (P< 0.05).
Conclusion   Early rehabilitation nursing for elderly AMI patients with arrhythmia can significantly enhance their physical function and ADL, reduce the incidence of complications and improve the prognosis.