RESUMEN
Objective:To investigate the effect of cardiac rehabilitation rehabilitation interventions on elderly patients with AMI after PCI.Methods:From March 2016 to October 2017, 100 elderly AMI patients were selected and divided into two groups according to PCI operation time, 50 in each group; the control group was given routine cardiac exercise rehabilitation intervention, and the experimental group was given cardiac exercise rehabilitation intervention under the family support system. PSSs, HAMA, HAMD, HHI, mace and WHOQOL BREF were compared before and after intervention.Results:After 6 months of follow-up, a total of 82 valid data were obtained, including 43 in the control group and 39 in the experimental group. After the intervention, the PSSS scores of the two groups were improved, and the PSSS score of the experimental group (70.5±5.4) was better than that of the control group (57.7±4.5) ( t values were 10.481-16.932, P<0.01). After the intervention, the HAMA and HAMD scores of the two groups were decreased ( t values were 5.298-22.114, P<0.05), and the experimental group scores (6.5±1.3) and (10.1±1.8) were lower than the control group (9.8±1.2) and (16.5±2.4)( t values were 11.745, 13.806, P<0.01). After intervention, the HHI dimensions and total scores of the two groups were increased ( t values were -10.778--8.539, P<0.01), and the experimental group scores (10.5±1.4, 10.2±1.5, 9.9±1.4, 30.6±3.1) were higher than the control group (8.6±1.2, 8.3±1.1, 8.6±1.1, 25.5±2.7) ( t values were 5.639-15.300, P<0.05); After intervention, the overall incidence of MACE in the experimental group(7.69%)was lower than that in the control group (27.91%)( χ2 values were 5.591, P<0.05); After the intervention, the WHOQOL-BREF scores of both groups were improved, and the experimental group score was superior to the control group ( t values were 2.095-5.479, P<0.05 or 0.01). Conclusions:Cardiac exercise rehabilitation intervention under the family support system can effectively relieve the negative emotions of elderly patients with AMI after PCI, effectively improve the understanding of social support ability and hope level, effectively reduce the incidence of MACE, and effectively improve the quality of life.