自制步行训练康复包在冠心病病人PCI术后社区心脏康复中的应用

    Application of self-made walking training rehabilitation package in community cardiac rehabilitation of patients with coronary heart disease after PCI treatment

    • 摘要:
      目的探讨运用自制6 min步行训练康复包对冠心病经皮冠状动脉介入治疗(PCI)后病人在社区进行心脏康复中的应用效果。
      方法80例冠心病PCI术后6个月至3年内的病人随机分为对照组和观察组,各40例。对照组给予常规的PCI术后护理指导和社区常规随访,观察组在对照组常规指导的基础上,提供6 min步行训练康复包指导病人居家运动康复训练。追踪随访1年,比较2组病人在6 min步行距离(6MWT)及生活质量方面的情况。
      结果干预1年后,观察组6MWT距离高于对照组(P < 0.01),观察组与对照组生理领域、心理领域、社会领域评分比较差异有统计学意义(P < 0.01),环境领域得分差异无统计学意义(P>0.05)。
      结论运用自制步行训练康复包对于冠心病行PCI术后6个月至3年内稳定期病人指导居家康复运动,可明显增加病人的6MWT,提高运动耐量,改善病人的生活质量。

       

      Abstract:
      ObjectiveTo explore the application effect of self-made "6-minute walking training rehabilitation package" in the community cardiac rehabilitation on patients undergoing coronary heart disease after percutaneous coronary intervention (PCI).
      MethodsEighty patients with coronary heart disease at 6 months to 3 years after PCI were randomly divided into a control group and an observation group, with 40 cases in each group.The control group received routine post-interventional nursing guidance and community conventional follow-up, while the observation group was additionally provided with a "6-minute walk training rehabilitation package" on the basis of the routine guidance to guide patients in home-based exercise for rehabilitation training.The 6-minute walking test (6MWT) and living quality of the two groups were compared after a follow-up survey lasted for one year.
      ResultsAfter one year of intervention, the 6MWT distance in the observation group was longer than that in the control group (P < 0.01).There was statistically significant differences in the scores of the physiological, psychological, and social fields between the observation group and the control group (P < 0.01), while there was no statistically significant difference in scores in the environmental field (P>0.05).
      ConclusionsThe application of self-made walking training rehabilitation package to stable stage patients with coronary heart disease, 6 months to 3 years after PCI to guide home rehabilitation exercise significantly increases their 6-minute walking distances, enhances exercise tolerance, and improves the quality of life.

       

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