网络信息化管理模式在急性心肌梗死患者心脏康复的应用效果

Application Effect of Network Information Management Model in Cardiac Rehabilitation of Patients with Acute Myocardial Infarction

摘要: 目的：探讨网络信息化管理模式在急性心肌梗死患者Ⅱ期心脏康复中的应用效果。方法：采取便利抽样法，选取2022年11月至2023年12月在秀山县人民医院心血管内科住院治疗的急性心肌梗死患者共135例，进行为期3个月的网络信息化管理模式的Ⅱ期心脏康复管理，数据分析于2024年4月至2024年6月。在干预前及干预后1个月、3个月分别对急性心肌梗死患者焦虑抑郁情绪、睡眠质量、心功能分级、6分钟步行距离进行追踪、随访，采用抑郁症状筛查量表(PHQ-9)、广泛性焦虑自评量表(GAD-7)、匹兹堡睡眠质量指数(PSQI)、六分钟步行实验及NYHA分级进行数据收集。结果：干预前、干预1个月和干预3个月后急性心肌梗死患者焦虑抑郁情绪、睡眠质量、心功能分级均有所改善，差异均具有统计学意义(P < 0.001)。干预1月后和干预3月后6分钟步行距离、6分钟步行距离占预计值百分比均有明显增加，差异比较具有统计学意义(P < 0.001)。结论：基于网络信息化管理模式的Ⅱ期心脏康复能够有效缓解急性心肌梗死患者焦虑抑郁情绪，改善睡眠质量和心功能情况，提高运动耐力，进一步提高急性心肌梗死患者的生命质量，为急性心肌梗死患者出院后的心脏康复训练提供有效指导，可将其纳入全面的院外心脏康复计划。

Abstract: Objective: To explore the application effect of network information management model in the stage II cardiac rehabilitation of patients with acute myocardial infarction. Methods: A total of 135 patients with acute myocardial infarction who were hospitalized in the cardiovascular Department of Xiushan County People’s Hospital from November 2022 to December 2023 were selected by convenience sampling method to carry out the Phase II cardiac rehabilitation management in the network information management mode for a period of 3 months, and the data were analyzed from April 2024 to June 2024. Anxiety and depression, sleep quality, cardiac function grade, 6-minute walking distance of patients with acute myocardial infarction were tracked and followed up before intervention and 1 and 3 months after intervention. The data were collected using the Depression Symptom Screening Scale (PHQ-9), the Generalized Anxiety Self-Rating Scale (GAD-7), the Pittsburgh Sleep Quality Index (PSQI), the six-minute walking test and the NYHA scale. Results: Before intervention, 1 month and 3 months after intervention, the anxiety, depression, sleep quality and cardiac function of patients with acute myocardial infarction were all improved, with statistical significance (P < 0.001). The percentage of 6-minute walking distance and 6-minute walking distance in the predicted value increased significantly after 1 month of intervention and 3 months of intervention, and the difference was statistically significant (P < 0.001). Conclusion: The Phase II cardiac rehabilitation based on the network information management model can effectively alleviate the anxiety and depression of patients with acute myocardial infarction, improve sleep quality and cardiac function, improve exercise endurance, further improve the quality of life of patients with acute myocardial infarction, and provide effective guidance for the cardiac rehabilitation training of patients with acute myocardial infarction after discharge. It can be integrated into a comprehensive out-of-hospital cardiac rehabilitation program.