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目的测定急性心肌梗死(AMI)患者早期活动耐受力并对其实施康复护理。方法心电监护下对58例AMI患者早期根据病情实施康复活动后,测定其生命体征及心电图改变,以诊断患者活动耐受力的强弱,并对其实施相应的康复护理措施。结果58例患者中有55例均于入院后18 d顺利康复出院,2例(包括合并肺部感染1例)活动耐受力较弱,住院时间延长3 d后康复出院,有1例因突发室颤导致康复活动终止,94.8%患者平均住院天数较常规缩短了5~7 d;住院期间没有发生任何并发症。结论测定AMI患者早期活动耐受力,使医护人员更好的掌握病情,对其实施相应的康复护理,能够稳定患者情绪,加快患者心功能恢复,缩短卧床时间,预防并发症,促使患者早日康复出院。
Objective To determine the early activity tolerance of patients with acute myocardial infarction (AMI) and to provide them with rehabilitation nursing. Methods Fifty-eight patients with acute myocardial infarction (AMI) undergoing ECG rehabilitation were enrolled in the study. Their vital signs and electrocardiogram (ECG) changes were measured at the early stage according to the condition of the patients to diagnose the patients’ AMI. The corresponding rehabilitation nursing measures were performed. Results Fifty-five of 58 patients were recovered and discharged successfully on day 18 after admission, and 2 patients (including one with pulmonary infection) had weaker activity tolerance. The hospitalization was prolonged for 3 days and recovered and discharged. Atrial fibrillation led to the termination of rehabilitation activities, 94.8% of the average length of hospital stay shorter than the conventional 5 to 7 days; no complications during hospitalization. Conclusions The measurement of AMI patients with early activity tolerance, so that medical staff to better grasp the condition, the implementation of the corresponding rehabilitation nursing, can stabilize the patient’s emotions, to speed up the recovery of patients with cardiac function, reduce bed rest time, prevent complications and promote early recovery of patients Discharged.