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Effect of Traditional Chinese medicine rehabilitation nursing on self-nursing ability and quality of life of patients with acute myocardial infarction after percutaneous coronary intervention |
CHEN Fangjie WANG Fengrong |
The First Department of Cardiology, the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Liaoning Province, Shenyang 110032 |
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Abstract Objective To explore the effect of traditional Chinese medicine rehabilitation nursing on self-nursing ability and quality of life of patients with acute myocardial infarction after percutaneous coronary intervention (PCI). Methods From January 2017 to June 2019, 112 patients with acute myocardial infarction after PCI were enrolled in the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, according to the random number table method, they were divided into two groups, with 56 cases in each group. The control group adopted comprehensive nursing mode, the observation group adopted the rehabilitation nursing mode of traditional Chinese medicine. Before and after the intervention, the exercise of self-care agency, self rating anxiety scale (SAS), self rating depression scale (SDS) scores and health promoting lifestyle profileⅡ(HPLP-Ⅱ) score were evaluated, the nursing effect of the two groups was compared. Results After intervention, scores of self-concept, self-responsibility, self-nursing skills and health knowledge of patients in both groups were higher than those before intervention, and scores of self-concept, self-responsibility, self-nursing skills and health knowledge in the observation group were higher than those in the control group, with statistically significant differences (all P < 0.05). After intervention, SAS, SDS scores of two groups were lower than those before intervention, HPLP-Ⅱ score was higher than that before intervention, and SAS, SDS scores of the observation group after the intervention were lower than those the control group, HPLP-Ⅱ score was higher than that the control group, the differences were statistical significance (all P < 0.05). The nursing efficiency of the control group was lower than that of the observation group, the difference was statistically significant (P < 0.05). Conclusion Traditional Chinese medicine rehabilitation nursing can improve the self-nursing ability, quality of life and bad mood of patients with acute myocardial infarction after PCI.
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[1] 宁小康,武向阳,杨志偲.益气滋阴活血方治疗急性心肌梗死PCI术后患者的疗效观察[J].中国中医急症,2019, 28(11):2014-2017.
[2] 中华中医药学会介入心脏病学专家委员会.经皮冠状动脉介入治疗(PCI)手术前后抑郁和(或)焦虑中医诊疗专家共识[J].中医杂志,2015,56(4):357-360.
[3] 高晓津,杨进刚,杨跃进,等.中国急性心肌梗死患者不同年龄组心血管危险因素分析[J].中华医学杂志,2016, 96(40):3251-3256.
[4] 胡蕊,郭书文,杨涛.温阳通络方对急性心肌梗死经皮冠状动脉介入治疗术后患者心室重构和血管内皮功能的影响[J].河北中医,2019,41(10):1491-1496.
[5] 潘国忠,寇兰俊,林晓烁,等.中医序贯疗法对急性心肌梗死患者PCI术后的康复作用[J].中国循证心血管医学杂志,2017,9(11):1327-1330.
[6] 周仲英.中医内科学(新世纪第二版)[M].北京:中国中医药出版社,2007:139-140.
[7] 中华医学会心血管病学分会,中华心血管病杂志编辑委员会.急性ST段抬高型心肌梗死诊断和治疗指南[J].中华心血管病杂志,2019,47(10):766-783.
[8] 郑筱萸.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:295.
[9] 雍婧雯,王志坚,林徐泽,等.急性心肌梗死患者患病构成比及住院死亡率变化趋势[J].中华心血管病杂志,2019, 47(3):209-214.
[10] 丛艳艳.养心通痹汤对急性心肌梗死行经皮冠状动脉介入术患者中医证候积分及心肌酶谱的影响[J].中国药物经济学,2020,15(2):84-86.
[11] 张洪,肖蕾.益气通脉方对急性心肌梗死PCI术后炎症因子及血管再狭窄影响[J].辽宁中医药大学学报,2020, 22(1):132-135.
[12] 王德民,雷宏飞.黄芪桂枝五物汤加味治疗对急性心肌梗死PCI术后病人血液流变学影响研究[J].贵州医药,2019,43(12):1891-1893.
[13] 李国彬,习元堂,袁丽仪,等.清热活血汤口服、盐酸替罗非班冠脉内注射辅助治疗急性ST段抬高型心肌梗死临床观察[J].山东医药,2019,59(33):48-52.
[14] 肖江红.中医护理对急性心肌梗死患者焦虑抑郁程度、并发症及治愈率的影响分析[J].光明中医,2018,33(11):1663-1665.
[15] 王利波.中医辨证施护对改善心肌梗死后便秘及负性情绪效果分析[J].辽宁中医药大学学报,2019,21(4):208-210.
[16] 孙续鹏.浅谈中医“七情内伤”和“贪、嗔、痴”[J].生物技术世界,2016,13(5):149.
[17] 王家美,梁春,王蓓,等.“坐式八段锦”对急性心肌梗死病人介入治疗术后心脏康复的影响[J].中西医结合心脑血管病杂志,2018,16(8):1082-1085.
[18] 赵淑青.中医情志护理对急性心肌梗死患者PCI术后负性情绪及服药依从性的影响[J].光明中医,2019,34(22):3522-3525.
[19] 刘仕利,刘静,陈韦,等.通脉降浊方对急性心肌梗死患者PCI术后心功能及血管内皮功能影响[J].辽宁中医药大学学报,2019,21(5):149-152.
[20] 李永聪,常丽,杨梅英,等.中医护理对急性心肌梗死患者焦虑抑郁程度、并发症及治愈率的影响分析[J].中西医结合心血管病电子杂志,2019,7(35):141-142. |
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