Evaluation on the application effect of cardiac rehabilitation nursing path in patients with acute myocardial infarction
心脏康复护理路径在急性心肌梗死患者中的应用效果评价

摘要

目的 构建并评价心脏康复护理路径在急性心肌梗死患者中的应用效果。方法 选取2024年1月到2025年4月我院心血管内科的120例急性心肌梗死患者作为研究对象，采用随机数字表法分为对照组和实验组，每组各60例。对照组采用常规护理方案，实验组实施心脏康复护理路径。结果 实验组LVEF为（56.8±4.2）%，显著高于对照组的（50.2±5.1）%（t=8.265，P=0.000）；实验组6分钟步行距离为（485.6±32.5）m，明显长于对照组的（412.3±38.6）m（t=11.032，P=0.000）；实验组不良心血管事件发生率为5.0%（3/60），显著低于对照组的18.3%（11/60）（χ²=5.063，P=0.024）。结论 心脏康复护理路径通过分阶段的运动训练、饮食干预及持续随访，可显著改善急性心肌梗死患者的心功能，提高运动耐力，降低不良心血管事件发生率，在急性心肌梗死患者的康复过程中具有重要应用价值，值得临床推广。

Abstract

Objective To construct and evaluate the application effect of cardiac rehabilitation nursing path in patients with acute myocardial infarction.
Methods A total of 120 patients with acute myocardial infarction in the Department of Cardiovascular Medicine of our hospital from January 2024 to April 2025 were selected as the research objects. They were divided into a control group and an experimental group by random number table method, with 60 cases in each group. The control group adopted the conventional nursing scheme, while the experimental group implemented the cardiac rehabilitation nursing path.
Results The LVEF of the experimental group was(56.8±4.2)%, which was significantly higher than that of the control group(50.2±5.1) % (t=8.265,P=0.000). The 6-minute walking distance of the experimental group was (485.6±32.5)m, which was significantly longer than that of the control group (412.3±38.6)m (t=11.032, P=0.000). The incidence of adverse cardiovascular events in the experimental group was 5.0%(3/60), which was significantly lower than that in the control group 18.3%(11/60)(χ²=5.063, P=0.024).
Conclusion   The cardiac rehabilitation nursing path can significantly improve the cardiac function, enhance exercise endurance and reduce the incidence of adverse cardiovascular events in patients with acute myocardial infarction through phased exercise training, dietary intervention and continuous follow-up. It has important application value in the rehabilitation process of patients with acute myocardial infarction and is worthy of clinical promotion.