Effect of KTH integrated nursing intervention on cardiac rehabilitation in patients with acute myocardial infarction after PCI
KTH整合护理干预对急性心肌梗死患者PCI术后心脏康复效果的影响

摘要

目的 讨论及研究KTH整合护理干预对急性心肌梗死患者PCI术后心脏康复的效果。方法 选择2023年1月-2023年12月的480例患者进行研究，随机分成对照组和实验组，每组240例患者，对照组患者提供常规护理，实验组患者提供KTH模式心脏康复护理，分析两组患者的NYHA分级情况、运动耐力；患者的生活自理能力以及生活质量（所有患者在出院以及术后三个月提供随访）。结果 在干预前，其NYHA分级、运动耐力并无明显的差异，p>0.05，而患者的生活自理能力以及生活质量无明显差异，p>0.05，而在治疗后，NYHA分级、运动耐力，而且患者的生活自理能力和生活质量均较佳，p<0.05。结论 基于KTH整合护理干预，在促进急性心肌梗死患者PCI术后心脏康复效果得到提升，其身体状态相对更佳，运动耐力得到了提升，实现了生活自理能力的提升，促进生活质量的改善。

Abstract

Objective To discuss and study the effect of KTH integrated nursing intervention on postoperative cardiac rehabilitation in patients with acute myocardial infarction after PCI.
Methods A total of 480 patients from 2023.1-2023.12 were selected for the study and randomly divided into control group and experimental group, with 240 patients in each group. Patients in the control group were provided with routine nursing while patients in the experimental group were provided with KTH mode cardiac rehabilitation nursing. NYHA classification and exercise endurance of patients in the two groups were analyzed. Patients' ability to live independently and quality of life (all patients were followed up at discharge and three months after surgery).
Results Before intervention, there was no significant difference in NYHA grading and exercise endurance (p>0.05), while there was no significant difference in patients' self-care ability and quality of life (p>0.05). After treatment, NYHA grading and exercise endurance were improved, and patients had better self-care ability and quality of life (p<0.05).
Conclusion   Based on KTH integrated nursing intervention, the cardiac rehabilitation effect of acute myocardial infarction patients after PCI is improved, their physical condition is relatively better, their exercise endurance is improved, and their self-care ability is improved, promoting the improvement in quality of life.