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The Research of Combined Rehabilitation Following Hypertension with Acute Myocardial Infarction
Author: YangLinLin
Tutor: TangHaiQin
School: Anhui Medical University,
Course: Geriatrics
Keywords: Hypertension Acute myocardial infarction Community Comprehensive rehabilitation Survey
CLC: R542.22
Type: Master's thesis
Year: 2011
Downloads: 40
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Abstract
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Objective: To survey the grassroots community health service personnel and problems, and hypertension with acute myocardial infarction in patients with community rehabilitation efficacy study for the comprehensive rehabilitation of primary health care decision-making and community hypertension and acute myocardial infarction in patients with community basis. Methods: A questionnaire for grassroots community health service personnel, the basic survey of Anhui Province, 513 grassroots community health service personnel; 45 patients with acute myocardial infarction in patients with hypertension and Community rehabilitation interventions and to evaluate the effects of interventions. : Grassroots health community health workers age 20-69 years old, average age 39 years; mainly specialist qualifications accounted for 43% of general practitioners accounted for 26%; 67% through national practitioner qualification examination. 79% in the diagnosis and treatment of common diseases of the grass-roots community hypertension, also think in grassroots communities better treatment of the disease, 60% of the community physicians comprehensive rehabilitation in the community, especially hypertension prevention and treatment of hypertension and in patients with acute myocardial infarction necessary, but nearly 50% of the community physicians ignore the guidance of Community Rehabilitation. Community Rehabilitation Research shows: (1) the experimental group before and after rehabilitation systolic blood pressure decreased from 152.70 ± 10.50 mmHg to 135.50 ± 9.60 mmHg (P lt; 0.001), DBP decreased from 92.40 ± 11.20 mmHg to 85.30 ± 6.4 0mmHg (P lt; 0.001), before and after the rehabilitation of the control group systolic blood pressure decreased from 156.40 ± 13.80 mmHg to 150.60 ± 10.40 mmHg (P = 0.12), diastolic blood pressure decreased by 93.30 ± 10.70 mmHg decreased to 92.50 ± 7.60 mmHg (P = 0.44), Rehabilitation difference between the two groups was statistically significant (P lt; 0.001). (2) rehabilitation of the experimental group before and after BMI decreased from 24.30 ± 3.71 to 21.85 ± 2.90 (P lt; 0.001), the control group did not change significantly (P gt; 0.05) from 24.67 ± 3.24 to 23.71 ± 2.32; (3) the experimental group rehabilitation before and after the six-minute walk results from increased 363.30 ± 239.50 ± 78.70m 88.70m (P lt; 0.001), 6-minute walk results from the control group 234.40 ± 70.10m to 321.10 ± 61.00m (P lt; 0.001), rehabilitation after There were significant differences between the groups (P lt; 0.001); (4) echocardiography EF values ??before and after the rehabilitation of the experimental group increased from 55.70 ± 3.90 to 60.90 ± 2.7 (0P lt; 0.001), echocardiography EF values ??from the control group 54.60 ± 3.40 reduce to 53.40 ± 2.30 (P gt; 0.05) after rehabilitation group, the difference was statistically significant (P lt; 0.001); (5) the experimental group pedometer records for patient motion tolerance (pedometer step number) from 681.67 ± 116.53 step further increased to 6105.33 ± 547.61 (P lt; 0.001). (6) in the rehabilitation process, the control group, again a higher incidence of angina, the difference between the two groups was statistically significant (P lt; 0.05). Conclusion: high blood pressure in patients with acute myocardial comprehensive rehabilitation treatment after infarction can effectively control blood pressure, reduce the patient's body mass index, improve cardiac function, increased exercise tolerance, reduce cardiac events, reduce patient anxiety, and depression. But most community doctors ignore the importance of comprehensive rehabilitation of the community and, therefore, improve the health care of the medical staff of the grass-roots community level, is of great significance to promote the Community Rehabilitation of hypertension, acute myocardial infarction, hypertension rehabilitation.
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CLC: > Medicine, health > Internal Medicine > Heart, blood vessels ( circulatory ) disease > Heart disease > Myocardial diseases > Myocardial infarction
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