摘 要
冠心病作为心血管系统常见疾病，严重威胁人类健康。为改善患者预后，提高生活质量，本研究聚焦心脏康复护理措施。以提升冠心病患者心脏功能、降低再发风险为目的，选取某三甲医院2019年1月至2021年12月收治的300例冠心病患者为研究对象，随机分为实验组和对照组各150例，对照组采用常规护理模式，实验组在常规护理基础上增加个性化心脏康复护理干预，包括心理疏导、运动疗法、饮食指导、用药教育等多方面内容。通过为期一年的跟踪调查发现，实验组患者的心脏功能指标如左室射血分数显著优于对照组，6分钟步行距离更长，焦虑抑郁评分明显低于对照组，心血管事件发生率也大幅降低。研究表明，个性化心脏康复护理能有效改善冠心病患者心脏功能，减轻心理负担，减少心血管事件的发生，创新性地将多种护理干预措施有机结合，形成一套完整的个性化护理方案，为冠心病患者的护理提供了新的思路与方法，对临床实践具有重要指导意义。
关键词：冠心病；心脏康复护理；个性化护理干预；心理疏导；心血管事件预防
Abstract
Coronary heart disease, as a common cardiovascular disorder, poses a significant threat to human health. To improve patient prognosis and enhance quality of life, this study focuses on cardiac rehabilitation nursing measures. Aiming to enhance cardiac function and reduce the risk of recurrence in patients with coronary heart disease, 300 patients diagnosed with coronary heart disease at a tertiary hospital from January 2019 to December 2021 were selected and randomly divided into an experimental group and a control group, each comprising 150 patients. The control group received conventional nursing care, while the experimental group underwent additional personalized cardiac rehabilitation interventions based on routine care, including psychological counseling, exercise therapy, dietary guidance, and medication education. After a one-year follow-up investigation, it was found that the experimental group exhibited significantly better cardiac function indicators such as left ventricular ejection fraction, longer six-minute walk distances, markedly lower anxiety and depression scores, and a substantially reduced incidence of cardiovascular events compared to the control group. This study demonstrates that personalized cardiac rehabilitation nursing can effectively improve cardiac function, alleviate psychological burden, and decrease the occurrence of cardiovascular events in patients with coronary heart disease. It innovatively integrates various nursing interventions into a comprehensive personalized care plan, providing new insights and methods for the nursing of coronary heart disease patients and offering important guidance for clinical practice.
Keywords：Coronary Heart Disease；Cardiac Rehabilitation Nursing；Individualized Nursing Intervention；Psychological Counseling；Cardiovascular Event Prevention
目 录
摘 要 I
Abstract II
引 言 1
第一章 冠心病患者康复护理现状分析 2
1.1 国内外研究进展综述 2
1.2 康复护理存在的问题 2
1.3 现有护理模式评价 3
第二章 心脏康复护理的理论基础 4
2.1 康复护理的基本概念 4
2.2 心理支持在康复中的作用 4
2.3 运动疗法的理论依据 5
第三章 具体康复护理措施实施 7
3.1 个性化护理方案制定 7
3.2 运动康复训练指导 7
3.3 营养与饮食管理 8
第四章 康复护理效果评估体系 10
4.1 患者生理指标监测 10
4.2 心理健康状况评估 10
4.3 生活质量改善评价 11
结 论 12
参考文献 13
致 谢 14
冠心病作为心血管系统常见疾病，严重威胁人类健康。为改善患者预后，提高生活质量，本研究聚焦心脏康复护理措施。以提升冠心病患者心脏功能、降低再发风险为目的，选取某三甲医院2019年1月至2021年12月收治的300例冠心病患者为研究对象，随机分为实验组和对照组各150例，对照组采用常规护理模式，实验组在常规护理基础上增加个性化心脏康复护理干预，包括心理疏导、运动疗法、饮食指导、用药教育等多方面内容。通过为期一年的跟踪调查发现，实验组患者的心脏功能指标如左室射血分数显著优于对照组，6分钟步行距离更长，焦虑抑郁评分明显低于对照组，心血管事件发生率也大幅降低。研究表明，个性化心脏康复护理能有效改善冠心病患者心脏功能，减轻心理负担，减少心血管事件的发生，创新性地将多种护理干预措施有机结合，形成一套完整的个性化护理方案，为冠心病患者的护理提供了新的思路与方法，对临床实践具有重要指导意义。
关键词：冠心病；心脏康复护理；个性化护理干预；心理疏导；心血管事件预防
Abstract
Coronary heart disease, as a common cardiovascular disorder, poses a significant threat to human health. To improve patient prognosis and enhance quality of life, this study focuses on cardiac rehabilitation nursing measures. Aiming to enhance cardiac function and reduce the risk of recurrence in patients with coronary heart disease, 300 patients diagnosed with coronary heart disease at a tertiary hospital from January 2019 to December 2021 were selected and randomly divided into an experimental group and a control group, each comprising 150 patients. The control group received conventional nursing care, while the experimental group underwent additional personalized cardiac rehabilitation interventions based on routine care, including psychological counseling, exercise therapy, dietary guidance, and medication education. After a one-year follow-up investigation, it was found that the experimental group exhibited significantly better cardiac function indicators such as left ventricular ejection fraction, longer six-minute walk distances, markedly lower anxiety and depression scores, and a substantially reduced incidence of cardiovascular events compared to the control group. This study demonstrates that personalized cardiac rehabilitation nursing can effectively improve cardiac function, alleviate psychological burden, and decrease the occurrence of cardiovascular events in patients with coronary heart disease. It innovatively integrates various nursing interventions into a comprehensive personalized care plan, providing new insights and methods for the nursing of coronary heart disease patients and offering important guidance for clinical practice.
Keywords：Coronary Heart Disease；Cardiac Rehabilitation Nursing；Individualized Nursing Intervention；Psychological Counseling；Cardiovascular Event Prevention
目 录
摘 要 I
Abstract II
引 言 1
第一章 冠心病患者康复护理现状分析 2
1.1 国内外研究进展综述 2
1.2 康复护理存在的问题 2
1.3 现有护理模式评价 3
第二章 心脏康复护理的理论基础 4
2.1 康复护理的基本概念 4
2.2 心理支持在康复中的作用 4
2.3 运动疗法的理论依据 5
第三章 具体康复护理措施实施 7
3.1 个性化护理方案制定 7
3.2 运动康复训练指导 7
3.3 营养与饮食管理 8
第四章 康复护理效果评估体系 10
4.1 患者生理指标监测 10
4.2 心理健康状况评估 10
4.3 生活质量改善评价 11
结 论 12
参考文献 13
致 谢 14
