[1]张娜,张建秀.我国急性心肌梗死出院患者的生活方式改善情况分析[J].西部中医药,2020,33(03):77-80.[doi:10.12174/j.issn.1004-6852.2020.03.21]
　ZHANG Na,ZHANG Jianxiu.The Improvements of Lifestyle of Discharged AMI Patients in China[J].Western Journal of Traditional Chinese Medicine,2020,33(03):77-80.[doi:10.12174/j.issn.1004-6852.2020.03.21]
点击复制

我国急性心肌梗死出院患者的生活方式改善情况分析
分享到：

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
33
期数:
2020年03期
页码:
77-80
栏目:
出版日期:
2020-03-15

文章信息/Info

Title:
The Improvements of Lifestyle of Discharged AMI Patients in China
文章编号:
1004-6852(2020)03-0077-04
作者:
张娜，张建秀
首都医科大学附属北京康复医院心脏康复中心，北京 100144
Author(s):
ZHANG Na, ZHANG Jianxiu
Cardiac Rehabilitation Center, Beijing Rehabilitation Hospital of Capital Medical University, Beijing 100144, China
关键词:
急性心肌梗死; 出院患者; 生活方式; 意见; 改善
Keywords:
acute myocardial infarction;  discharged patients;  lifestyle;  advice;  improvements
分类号:
R542
DOI:
10.12174/j.issn.1004-6852.2020.03.21
文献标志码:
B
摘要:
目的：解析2007—2017年我国急性心肌梗死(acute myocardial infarction，AMI)患者出院后生活方式改善建议状况及其变化。方法：随机对我国各地区的85个二级甲等医院2007年5月1日到2017年5月1日住院的12 850例AMI病例按照接受生活方式改进意见分为0条意见组（6096例）、1～2条意见组（6470例）、3～5条意见组（284例），同时组成医疗团队对出院患者进行回访调查，并就患者生活方式的改进情况进行分析。结果：3组患者BMI指数、心肌梗死类型、疾病史等资料比较差异无统计学意义（P＞0.05）；但心血管病危险因素中3～5条意见组的血脂异常率、吸烟率明显低于1～2条意见组与0条意见组（P＜0.05）；在2007年未接受生活方式改进意见的比率为72.6%(1124/1548)，至2012年下降至55.60%(2573/4628)，2017年下降至35.95%(2399/6674)；患者接受的饮食意见占最大比重，2007年、2012年、2017年分别为17.83%(276/1548)、28.00%(1296/4628)、39.22%(2618/6674)；排名第二的是运动意见；2012—2017年血脂评估意见由7.17%(332/4628)上升到13.38%(894/6674)，戒烟意见由3.29%(156/4628)上升到了7.67%(512/6674)，除了控制体质量的意见没有显著波动外，每一项意见的加权率都体现出了逐年升高的趋势。结论：在2007年至2017年期间，我国AMI出院患者获得生活方式改善意见的状况逐渐好转，但不够完善。应加大对AMI患者提供生活方式改善意见的重视程度，提高患者出院康复效果。
Abstract:
Objective: To analyze the advice on improvements of lifestyle and the changes of the patients with acute myocardial infarction (AMI) after discharged from hospital from 2007 to 2017 in China. Methods: All 12 850 AMI cases who visited 85 grade-2A hospitals in different regions from May 1st, 2007 to May 1st, 2017 were randomly ananlyzed, All 12 850 patients were included, according to the number of the advice that the patients received, they were divided into the group of zero advice(6096 cases), the group of one to two pieces of advice(6470 cases) and the group of three to five pieces of advice(284 cases); medical teams were organized to pay a return visit to the discharged patients, the improvements of lifestyles of the patients were analyzed. Results: The difference had no statistical meaning in the comparisons of BMI, the types of AMI, disease history and others among three groups (P＞0.05); the group of three to five pieces of advice was lower than the group of one to two pieces of advice and the group of zero advice in dyslipidemia rate and smoking rate among the cardiovascular risk factors notably(P＜0.05); in 2007, the porportion of not receiving the advice on lifestyle improvements was 72.6%(1124/1548), it fell to 55.60%(2573/4628) in 2012, and 35.95%(2399/6674) in 2017; the proportions of the patients receiving the dietary suggestions were the largest, and they were 17.83%(276/1548), 28.00%(1296/4628) and 39.22% (2618/6674) in 2007, 2012 and 2017 respectively; the second was exercise advice, from 2012 to 2017, blood lipid evaluation advice rose from 7.17%(332/4628) to 13.38%(894/6674), smoking advice from 3.29% (156/4628) to 7.67% (512/6674), except that no significant fluctuation showed in the advice of weight control, weighting rate of each opinion represented the trend of increasing year by year. Conclusion: In the period between 2007 and 2017, the conditions of discharged AMI patients in China receiving lifestyle improvement suggestions have been improved gradually, but not perfect. More attentions should be paid to lifestyle improvements advice for AMI patients, and to raise rehabilitation effects of discharged patients.

相似文献/References:

[1]邹以新,杨 萍.某院2012年出院患者疾病构成及顺位分析[J].西部中医药,2014,27(02):80.
　ZOU Yixin,YANG Ping.Diseases Composition and Cis-position of the Discharged Patients in a Hospital at the Year of 2012[J].Western Journal of Traditional Chinese Medicine,2014,27(03):80.
[2]史玛诺,冯珊珊.急性心肌梗死溶栓合并严重血小板减少出血倾向患者护理方法探讨[J].西部中医药,2015,28(09):122.
[3]王敏,吴垠,徐亮.优化急救流程对急性心肌梗死患者抢救时间及急救效果的影响[J].西部中医药,2018,31(08):123.
　WANG Min,WU Yin,XU Liang.Effects of Emergency Flow Optimization on Rescue Time and Emergency Effects of the Patients with Acute Myocardial Infarction[J].Western Journal of Traditional Chinese Medicine,2018,31(03):123.
[4]刘云,董剑廷△.中西医结合治疗急性心肌梗死心绞痛临床观察[J].西部中医药,2019,32(01):83.
　LIU Yun,DONG Jianting.Clinical Observation on Integrative Medicine in Treating Acute Myocardial Infarction Angina Pectoris[J].Western Journal of Traditional Chinese Medicine,2019,32(03):83.
[5]余锋,刘静,信梦雪,等.中医药干预急性心肌梗死的系统综述及Meta分析文献质量评价[J].西部中医药,2019,32(03):56.
　YU Feng,LIU Jing,XIN Mengxue,et al.Systematic Review of TCM Intervention for Acute Myocardial Infarction and Meta Analysis on Quality of Literature[J].Western Journal of Traditional Chinese Medicine,2019,32(03):56.
[6]王坤锋,杨志偲,王永刚,等.队列研究在中医冠心病临床研究中的应用现状[J].西部中医药,2020,33(04):154.[doi:10.12174/j.issn.1004-6852.2020.04.47]
　WANG Kunfeng,YANG Zhicai,WANG Yonggang,et al.Current State of the Application of Cohort Study to Clinical Study of TCM Coronary Heart Disease[J].Western Journal of Traditional Chinese Medicine,2020,33(03):154.[doi:10.12174/j.issn.1004-6852.2020.04.47]
[7]饶晓燕,丁金玲.阶梯式心理疏导联合改良式进餐体位在急性心肌梗死患者中的应用效果[J].西部中医药,2021,34(03):139.[doi:10.12174/j.issn.2096-9600.2021.03.35]
　RAO Xiaoyan,DING Jinling.Application Effects of Ladder Psychological Counseling and Improved Dining Posture in Patients with Acute Myocardial Infarction[J].Western Journal of Traditional Chinese Medicine,2021,34(03):139.[doi:10.12174/j.issn.2096-9600.2021.03.35]

备注/Memo

备注/Memo:
收稿日期：2019-04-21作者简介：张娜(1983—)，女，主管护师。研究方向：临床护理。
更新日期/Last Update: 2020-03-15