心脏康复训练对冠心病患者PCI术后心功能和生活质量的影响
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摘要
目的探讨心脏康复训练对冠心病患者PCI术后心功能和生活质量的影响。方法收集2017年1月～2018年1月我院心脏康复中心收治的接受冠心病介入治疗的冠心病患者60例,根据护理方法不同随机分为两组,每组各30例,对照组给予常规对症护理。干预组在对照组基础上给予心脏康复训练。对比分析两组患者干预前后心功能及生活质量各项评分的变化情况。结果干预前,两组患者的LVEF水平比较差异不显著(P>0.05),干预后干预组LVEF显著高于对照组,差异具有显著性(P<0.05)。干预前,两组患者的心绞痛稳定状态、心绞痛发作、躯体活动受限、疾病认识程度、治疗满意度评分比较差异不显著(P>0.05),干预后干预组的心绞痛稳定状态、心绞痛发作、躯体活动受限、疾病认识程度、治疗满意度评分显著高于对照组(P<0.05)。结论心脏康复训练有利于改善冠心病患者PCI术后心功能,提高生活质量,促进术后恢复。
Objective To investigate the effect of cardiac rehabilitation training on cardiac function and quality of life in patients with coronary heart disease after PCI. Methods 60 patients with coronary heart disease who underwent interventional therapy for coronary heart disease admitted in our hospital from January 2017 to January 2018 were randomly divided into two groups according to different nursing methods, with 30 cases in each group. The control group was given regular symptomatic care. The intervention group was treated with cardiac rehabilitation training on the basis of the treatment of the control group. The changes of cardiac function and quality of life scores before and after intervention were compared between the two groups. Results Before intervention, there was no significant difference in the LVEF levels between the two groups(P>0.05). The LVEF of the intervention group after the intervention was significantly higher than that of the control group, and the difference was significant(P <0.05). Before the intervention, the scores of angina pectoris status, angina pectoris, physical activity limitation, disease awareness, and treatment satisfaction scores were not significantly different between the two groups(P>0.05). After the intervention, the scores of angina pectoris status, angina pectoris, and body restricted activity, disease awareness, and treatment satisfaction scores in the intervention group were significantly higher than those of the control group(P<0.05). Conclusion Cardiac rehabilitation training is beneficial to improve cardiac function, improve quality of life and promote postoperative recovery in patients with coronary heart disease after PCI.
Objective To investigate the effect of cardiac rehabilitation training on cardiac function and quality of life in patients with coronary heart disease after PCI. Methods 60 patients with coronary heart disease who underwent interventional therapy for coronary heart disease admitted in our hospital from January 2017 to January 2018 were randomly divided into two groups according to different nursing methods, with 30 cases in each group. The control group was given regular symptomatic care. The intervention group was treated with cardiac rehabilitation training on the basis of the treatment of the control group. The changes of cardiac function and quality of life scores before and after intervention were compared between the two groups. Results Before intervention, there was no significant difference in the LVEF levels between the two groups(P>0.05). The LVEF of the intervention group after the intervention was significantly higher than that of the control group, and the difference was significant(P <0.05). Before the intervention, the scores of angina pectoris status, angina pectoris, physical activity limitation, disease awareness, and treatment satisfaction scores were not significantly different between the two groups(P>0.05). After the intervention, the scores of angina pectoris status, angina pectoris, and body restricted activity, disease awareness, and treatment satisfaction scores in the intervention group were significantly higher than those of the control group(P<0.05). Conclusion Cardiac rehabilitation training is beneficial to improve cardiac function, improve quality of life and promote postoperative recovery in patients with coronary heart disease after PCI.
引文
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[12]史科敏.综合心脏康复干预对冠心病介入术后心功能的影响[J].浙江实用医学,2016,21(1):61-63.
[13]荆智霞.心脏康复训练对心绞痛患者PCI术后心功能和生活质量的影响[J].中国老年保健医学,2018,16(2):128-129.
[14] Poortaghi S,Baghernia A,Golzari SE,et al. The effect of home-based cardiac rehabilitation program on self efficacy of patients referred to cardiac rehabilitation center[J].BMC Res Notes,2013,6:287-281.
[15]王承龙,王强.重视心脏康复治疗对冠心病血运重建术后患者的作用[J].心血管康复医学杂志,2012,21(3):325-327.
[16]王宇琴,冉隆梅,李华萍.心脏康复路径教育在冠心病介入治疗患者心脏康复过程中的效果观察[J].中国医学创新,2017,14(19):98-99.
[2]许梦真,严珠,黄海燕.冠心病患者经皮冠状动脉介入术的围术期护理[J].实用临床医药杂志,2017,21(14):141-142.
[3]谢岩,范国颖.康复运动训练联合心理治疗对冠心病PCI术后患者的影响[J].中国循证心血管医学杂志,2016,8(2):226-228.
[4]李瑞洁,李宝寅,秦雷.心脏康复综合管理对年轻冠心病PCI术后患者运动耐力的影响[J].中国现代药物应用,2015,9(5):249-250.
[5]曹巧林,王桂桃,何博生.冠心病介入患者术后持续康复运动对患者心功能与生活质量的影响[J].护理实践与研究,2018,15(6):152-153.
[6]李爽,尹明秋,孙秋,等.临床护理路径对冠心病介入治疗的影响[J].中国临床护理,2012,4(6):486-488.
[7]杨亚丽,魏梅,王晓华,等.临床护理路径对冠状动脉介入治疗病人自我管理能力的影响[J].护理研究,2015,32(6):725-726.
[8]汤朕,张静.临床护理路径应用于冠心病介入治疗护理中的效果评价[J].转化医学电子杂志,2016,3(5):75-76.
[9]吕霞,尹晓凤,方琴.冠心病患者介入术后心脏康复延续性护理研究进展[J].西部医学,2017,29(3):427-430.
[10]李云.冠心病介入治疗后心脏康复护理效果分析[J].当代医学,2015,21(24):109-111.
[11]李中清.冠心病介入术后心脏康复及护理研究进展[J].临床护理杂志,2016,15(6):62-65.
[12]史科敏.综合心脏康复干预对冠心病介入术后心功能的影响[J].浙江实用医学,2016,21(1):61-63.
[13]荆智霞.心脏康复训练对心绞痛患者PCI术后心功能和生活质量的影响[J].中国老年保健医学,2018,16(2):128-129.
[14] Poortaghi S,Baghernia A,Golzari SE,et al. The effect of home-based cardiac rehabilitation program on self efficacy of patients referred to cardiac rehabilitation center[J].BMC Res Notes,2013,6:287-281.
[15]王承龙,王强.重视心脏康复治疗对冠心病血运重建术后患者的作用[J].心血管康复医学杂志,2012,21(3):325-327.
[16]王宇琴,冉隆梅,李华萍.心脏康复路径教育在冠心病介入治疗患者心脏康复过程中的效果观察[J].中国医学创新,2017,14(19):98-99.