论文部分内容阅读
目的:观察疾病不确定感对急性心肌梗死(AMI)患者2周康复程序疗效的影响。方法:连续选择近期在我院救治的AMI患者85例,接受2周康复程序治疗和“Missals疾病不确定感量表”评估,并根据评分结果分为中-高分组(74.8～117.4分,51例)和低分组(32～74.7分,34例),并与同期就诊的43例冠心病心绞痛患者(CHD对照组)比较。结果:AMI患者不确定感量表各维度分及总分[总分(78.34±15.20)分比(60.61±12.42)分]均明显高于CHD对照组(P<0.05～0.01)。AMI患者不确定感中-高分组的运动峰值心率明显大于低分组[(137.80±26.49)次/min比(126.12±20.51)次/min,P<0.01]。与低分组比较,中、高分组的ADL总分[(84.15±16.38)分比(73.92±14.21)分]、SF-36总分[(45.22±6.86)分比(37.95±6.43)分]均明显减少,而SCL-90总分[(138.35±36.47)分比(151.87±42.61)分]、平均CCU天数[(2.53±0.26)d比(2.77±0.29)d]、平均卧床天数[(4.46±0.25)d比(5.38±1.22)d]、平均住院天数[(20.48±3.16)d比(25.37±3.82)d]和平均住院费[(3.91±0.82)万元比(4.57±0.93)万元]均明显增加(P<0.05～0.01)。结论:急性心肌梗死患者存在着明显的疾病不确定感,使2周康复程序的疗效显著下降。
Objective: To observe the effect of disease uncertainty on the curative effect of 2 weeks rehabilitation program in patients with acute myocardial infarction (AMI). Methods: A total of 85 AMI patients who were treated in our hospital recently were enrolled in the study. They were treated with 2 weeks’ rehabilitation program and the “Missals Disease Uncertainty Scale”. According to the scores, they were divided into two groups: 74 - 117.4 , 51 cases) and low group (32-74.7 points, 34 cases), and compared with 43 CHD patients (CHD control group) treated in the same period. Results: The dimensions and the total score of the indeterminacy scale of AMI patients [(78.34 ± 15.20) points (60.61 ± 12.42) points] were significantly higher than those of CHD controls (P <0.05 ~ 0.01). In the AMI patients with uncertainty, the peak-to-peak motor heart rate was significantly higher in the high-arm group than in the low-arm arm group (137.80 ± 26.49) / min (126.12 ± 20.51) / min, P <0.01). Compared with the low group, the ADL total score [(84.15 ± 16.38) (73.92 ± 14.21), SF-36 total score [(45.22 ± 6.86)) (37.95 ± 6.43) , While the average score of SCL-90 was (138.35 ± 36.47) (151.87 ± 42.61), the average number of CCU days was (2.53 ± 0.26) d (2.77 ± 0.29) d, ± 0.25) d (5.38 ± 1.22) d, mean length of hospital stay [(20.48 ± 3.16) d vs (25.37 ± 3.82) d] and average hospitalization costs (3.91 ± 0.82) million yuan (4.57 ± 0.93) Yuan] were significantly increased (P <0.05 ~ 0.01). CONCLUSION: There is a clear uncertainty of illness in patients with acute myocardial infarction, which leads to a significant reduction in the efficacy of the 2-week rehabilitation program.