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

目的:将急性心肌梗死PCI术后患者住院期间运动康复的最佳证据应用于临床实践，以期规范医护人员对患者运动康复的管理，推动心脏康复实践。方法:采用澳大利亚Joanna Briggs Institute （JBI）循证卫生保健中心临床证据实践应用系统，对主题相关文献进行系统检索、质量评价后，汇总20条最佳证据，结合临床情境制...

Application of best evidence for exercise rehabilitation during hospitalization in patients with acute myocardial infarction after percutaneous coronary intervention

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.