Application of best evidence for exercise rehabilitation during hospitalization in patients with acute myocardial infarction after percutaneous coronary intervention
10.3760/cma.j.cn115682-20200812-04860
- VernacularTitle:急性心肌梗死PCI术后患者住院期间运动康复的最佳证据应用
- Author:
Beibei ZHENG
1
;
Jianfen JIN
;
Mengying YU
;
Chaoqun WANG
;
Tingting CHEN
;
Hongjuan SUN
;
Xin LIU
;
Li NING
Author Information
1. 浙江大学医学院附属杭州市第一人民医院心血管内科 310006
- Keywords:
Evidence-based nursing;
Acute myocardial infarction;
Percutaneous coronary intervention;
Exercise rehabilitation
- From:
Chinese Journal of Modern Nursing
2021;27(11):1421-1427
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To apply the best evidence of exercise rehabilitation during hospitalization for patients with acute myocardial infarction after percutaneous coronary intervention (PCI) in clinical practice, in order to standardize the management of exercise rehabilitation of patients by medical staff and promote the practice of cardiac rehabilitation.Methods:By using the clinical evidence practice application system of Joanna Briggs Institute (JBI) Evidence-Based Health Care Center, the literatures related to the subject were systematically retrieved and quality evaluation was conducted. A total of 20 best evidences were collected, and 16 evidence-based quality review standards were developed in combination with the clinical context. The implementation of nurses' review indicators, the score of Cardiac Rehabilitation Knowledge Test and the score of Exercise Fear Scale before and after the application of evidence were compared respectively on the nurses and patients with acute myocardial infarction after PCI from February 1 to March 30, 2020 and from May 1 to July 3, 2020.Results:Except for index 1 and index 2, the implementation rates of all review indexes before and after the application of evidence were all increased, and the differences were statistically significant ( P<0.01) . The score of Cardiac Rehabilitation Knowledge Test was (91.14±14.05) after the application of evidence, which was higher than (80.00±10.41) before the application of evidence, and the difference was statistically significant ( t=-2.682, P<0.05) . After the application of evidence, the score of Exercise Fear Scale for Patients with Heart Disease was (43.43±10.93) , which was not statistically significantly different from the score (44.19±8.58) before the application of the evidence ( t=0.280, P>0.05) . Conclusions:The application of the best evidence of exercise rehabilitation during hospitalization in patients with acute myocardial infarction after PCI can improve the management and cognition of medical staff on exercise rehabilitation of patients and reduce the influence of exercise fear avoidance of patients.
