摘要目的 探讨延续护理对急性心肌梗死(AMI)静脉溶栓治疗患者预后及生活质量的影响.方法 选取2016年7月至12月于本院就诊静脉溶栓治疗的AMI患者74例,采用数字随机法,均分为观察组(n=37)与对照组(n=37);对照组给予常规出院指导,观察组给予延续护理,对比两组患者的预后及生活质量.结果 随访半年,观察组并发症发生率为13.51％,显著低于对照组的40.54％,两组比较差异有统计学意义(P＜0.05);护理后观察组SAS评分为(31.04±3.41)分、SDS评分为(26.12±2.36)分,均显著低于对照组(均P＜ 0.05),BI评分为(87.49±13.45)分,显著高于对照组(P＜0.05);观察组生活质量为(74.83±12.53)分,显著高于对照组的(65.55±10.38)分,两组比较差异有统计学意义(P＜0.05).结论 延续护理可缓解经静脉溶栓治疗的急性心肌梗死患者焦虑、抑郁情绪,提高日常生活能力及生活质量,改善预后,具有临床推广使用价值.

abstractsObjective To investigate the effects of continuous care on prognosis and quality of life in patients with acute myocardial infarction (AMI) treated by intravenous thrombolysis.Methods 74 patients with AMI treated by intravenous thrombolytic therapy at our hospital from July to December,2016 were randomly divided into an observation group,(n=37) and a control group (n=37).The control group received routine discharge guidance,and the observation group was given continuous nursing care.The prognosis and quality of life were compared between the two groups.Results After 6 months' follow-up,the incidence of complications was significantly lower in the observation group than in the control group (13.51％ vs.40.54％),with a statistical difference (P ＜ 0.05).After the nursing care,the scores of SAS and SDS were (31.04±3.41) and (26.12±2.36) in the observation group,which were higher than those in the control group (P ＜ 0.05);the BI score was significantly higher (87.49±13.45) in the observation group,which was higher than that in the control group (P ＜ 0.05);and the quality of life was better in the observation group than in the control group [(74.83 ± 12.53) vs.(65.55 ± 10.38),P ＜ 0.05].Conclusions Continuous care can relieve the anxiety and depression in patients with acute myocardial infarction after intravenous thrombolytic therapy,and improve their ability of daily living,quality of life,and prognosis,so it is worth being clinically generalized.