《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (06): 542-543.

• 康复护理 • 上一篇    下一篇

早期活动对心肌梗死患者住院时间、费用和生活能力的影响

宋泽; 国莉   

  1. 中国医科大学附属第四医院心内科 辽宁沈阳市 110005
  • 收稿日期:2006-04-20 出版日期:2006-06-25 发布日期:2006-06-25

Effects of Early Activities on Duration and Expenditure of Hospitalization and Activities of Daily Living of Patients with Myocardial Infarction

SONG Ze, GUO Li   

  1. The Department of Cardiology, the Fourth Affiliated Hospital of China Medical University,Shenyang 110005, Liaoning, China
  • Received:2006-04-20 Published:2006-06-25 Online:2006-06-25

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摘要： 目的探讨心肌梗死后早期活动对患者住院时间、住院费用和日常生活活动能力的影响。方法68例无并发症急性心肌梗死患者分为早期活动组33例和对照组35例,早期活动组从入院后第2天开始床边活动训练,对照组从第10天开始进行活动训练,于患者出院前1周采用Barthel指数(BI)评定其日常生活活动能力(ADL),比较住院时间和住院费用。结果早期活动组的平均住院时间和平均住院费用均低于对照组(P<0.05～0.01),出院时的ADL总分及多数分项评分均高于对照组(P<0.05～0.01)。结论心肌梗死后早期床边活动训练可缩短住院时间,减少医疗费用,改善患者的ADL。

关键词: 急性心肌梗死, 早期活动, 日常生活活动能力

Abstract: ObjectiveTo investigate the effects of early activities after acute myocardial infarction (AMI) on duration and expenditure of hospitalization and activities of daily living (ADL) of patients.Methods68 AMI inpatients without complications were divided into the early activity group (33 cases) and control group (35 cases). Patients of the early activity group started early activity training by the bed from the 2nd day after admission, and those of the control group from the 10th day. One week before discharge, ADL of all patients were assessed with Barthel index (BI), and duration and expenditure of hospitalization of two groups were compared.ResultsThe average duration and expenditure of hospitalization in the early activity group were obviously lower than those in the control group (P<0.05～0.01), but the total scores of ADL and the scores of most items at discharge were markedly higher than those in the control group (P<0.05～0.01).ConclusionEarly activity training by the bed can obviously shorten the duration of hospitalization, reduce the medical cost and improve the ADL of AMI patients.

Key words: acute myocardial infarction (AMI), early activity, activities of daily living