Effects of continuous care on quality of life and prognosis in patients undergoing AMI thrombolytic therapy

Abstract

Objective To investigate the effects of continuous care on prognosis and quality of life in patients with acute myocardial infarction (AMI) treated by intravenous thrombolysis. Methods 74 patients with AMI treated by intravenous thrombolytic therapy at our hospital from July to December, 2016 were randomly divided into an observation group, (n=37) and a control group (n=37). The control group received routine discharge guidance, and the observation group was given continuous nursing care. The prognosis and quality of life were compared between the two groups. Results After 6 months’ follow-up, the incidence of complications was significantly lower in the observation group than in the control group (13.51% vs. 40.54%), with a statistical difference (P<0.05). After the nursing care, the scores of SAS and SDS were (31.04±3.41) and (26.12±2.36) in the observation group, which were higher than those in the control group (P<0.05); the BI score was significantly higher (87.49±13.45) in the observation group, which was higher than that in the control group (P<0.05); and the quality of life was better in the observation group than in the control group [(74.83 ± 12.53) vs. (65.55 ± 10.38), P<0.05]. Conclusions Continuous care can relieve the anxiety and depression in patients with acute myocardial infarction after intravenous thrombolytic therapy, and improve their ability of daily living, quality of life, and prognosis, so it is worth being clinically generalized. Key words: Acute myocardial infarction; Intravenous thrombolysis; Continuous care; Quality of life; Prognosis