蚌埠医学院学报2024,Vol.49Issue(2) :269-272.DOI:10.13898/j.cnki.issn.1000-2200.2024.02.028

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

张云 侯钦午 王亚南 何秀秀
蚌埠医学院学报2024,Vol.49Issue(2) :269-272.DOI:10.13898/j.cnki.issn.1000-2200.2024.02.028

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

张云 1侯钦午 1王亚南 1何秀秀1
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作者信息

  • 1. 上海市浦东新区北蔡社区卫生服务中心,201204
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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

Objective:To 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 ) . Methods:Eighty 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. Results:After 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). Conclusions:The 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.

关键词

冠心病/社区心脏康复/居家康复运动/步行训练康复包/经皮冠状动脉介入治疗

Key words

coronary heart disease/community cardiac rehabilitation/home-based rehabilitation/walking training rehabilitation package/percutaneous coronary intervention

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基金项目

上海市浦东新区科技发展基金(PKJ-Y65)

出版年

2024
蚌埠医学院学报
蚌埠医学院

蚌埠医学院学报

CSTPCD
影响因子:0.917
ISSN:1000-2200
参考文献量14
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