基于ERAS理念构建AMI患者Ⅰ期心脏康复路径化管理模式

目的构建急性心肌梗死患者Ⅰ期心脏康复路径化管理模式。方法按照课题研究型品管圈活动步骤逐步展开。结果患者6 min步行距离均值由282.43 m增加至335.92 m，自理能力百分比由62.35%提升至94.10%，焦虑抑郁发生率由28.20%下降至10.32%，再住院率由10.91%下降至7.65%，平均住院日由5.46 d缩短至5.10 d。结论通过开展品管圈活动，构建了AMI患者Ⅰ期心脏康复路径化管理模式，促进了患者心功能快速恢复，提高了运动耐力和自我效能，缩短了住院时间，降低了焦虑抑郁发生率，提高了生活质量，临床效果显著。

Construction of the Path-Based Management Mode of Phase I Cardiac Rehabilitation for AMI Patients Based on ERAS Concept

ObjectiveTo construct the path management mode of phase I cardiac rehabilitation in patients with Acute Myocardial Infarction (AMI).MethodsThe study was gradually developed according to the steps of research-oriented quality control circle activities.ResultsThe average 6 min walking distance of patients increased from 282.43 m to 335.92 m, the percentage of self-care ability increased from 62.35% to 94.10%, the incidence of anxiety and depression decreased from 28.20% to 10.32%, and the re-hospitalization rate decreased from 10.91% to 7.65%. The average hospital stay was shortened from 5.46 days to 5.10 days.ConclusionThe path management mode of phase Ⅰ cardiac rehabilitation in patients with AMI was constructed by carrying out quality control circle activities,which promoted the rapid recovery of cardiac function, improved exercise endurance and self-efficacy, shortened hospital stay, reduced the incidence of anxiety and depression, and improved the quality of life, with significant clinical effects.