(深圳市第二人民医院，广东 深圳 518035)
(Shenzhen Second People's Hospital, Guangdong Shenzhen 518035)
〔摘 要〕 目的：探讨应用移动电子设备开展院内康复对急性心肌梗死（AMI）经皮冠脉介入治疗（PCI）术后患者疗 效及生存质量的影响。方法：选取深圳市第二人民医院 2017 年 3 月至 2019 年 2 月期间收治的经 PCI 治疗的 96 例 AMI 患者，按照随机数表法分为对照组与观察组，各 48 例。对照组患者术后给予心内科常规护理，观察组患者术后应用移 动电子设备开展院内心脏康复护理，比较两组患者干预前后左室射血分数（LVEF）、生存质量变化情况，并比较两组患 者住院时间、住院费用及护理满意度。结果：干预前，两组患者的 LVEF 比较，差异无统计学意义（P ＞ 0.05）；干预 后，两组患者 LVEF 均显著上升，且观察组高于对照组，差异具有统计学意义（P ＜ 0.05）；干预前，两组患者比较，差 异无统计学意义（P ＞ 0.05）；干预后两组患者生存质量评分均显著上升，且观察组高于对照组，差异具有统计学意义 （P ＜ 0.05）；观察组患者的住院时间短于对照组，住院费用低于对照组，差异具有统计学意义（P ＜ 0.05）；观察组患者 护理满意度为 95.83 %（46/48），较对照组 79.17 %（38/48）更高，差异有统计学意义（P ＜ 0.05）。结论：应用移动电子 设备开展院内心脏康复可显著促进 AMI 患者 PCI 术后心功能恢复、身体康复，提高患者的生存质量与护理满意度，减轻其 经济负担。
〔Abstract〕 Objective To evaluate the impacts of electronic mobile devices on postoperative therapeutic effect and quality of life of patients with acute myocardial infarction (AMI). Methods The total of 96 AMI patients who received the primary percutaneous coronary intervention (PCI) in our hospital (March 2017 to February 2019) were randomly divided into control group and observation group with 48 cases in each group. The conventional nursing care and cardiac rehabilitation care with the utilization of electronic mobile devices were implemented to two groups of patients, respectively. The left ventricular ejection fraction (LVEF), quality of life, the time and cost during hospitalization, as well as satisfaction rate of patients were compared between two groups. Results The basal LVEF and quality of life of patients were not significantly different between the two groups (P > 0.05), both of which were significantly improved after nursing care. Of note, the LVEF and quality of life of patients who received cardiac rehabilitation care with the utilization of electronic mobile devices were significantly higher than that of control patients (P < 0.05). Moreover, the patients in the observation group had less time and cost during hospitalization than that of control patients (P < 0.05). Meanwhile, the satisfaction rate of patients was significantly increased by cardiac rehabilitation care (95.83% vs 79.17% for observation group vs. control group, P < 0.05). Conclusions Cardiac rehabilitation care with the utilization of electronic mobile devices substantially improves cardiac function, quality of life, and satisfaction rate but reduces the economic burden of AMI patients after PCI surgery.