Application Effect of Nurse-Guided Progressive Aerobic Exercise on Cardiac Rehabilitation in Young and Middle-Aged PCI Patients with Anxiety
Objective This study intends to compare the effects of aerobic exercise rehabilitation program and simple health education on cardiac rehabilitation in young and middle-aged patients with anxiety after percutaneous coronary intervention(PCI).Methods Young and middle-aged PCI patients with moderate or above anxiety who were hospitalized in the Cardiology Department of the First Affiliated Hospital of Zhengzhou University from January to July 2022 were randomly divided into experimental group and control group.The control group was treated with routine nursing.Before discharge,the patients were given routine PCI postoperative cardiac rehabilitation education,followed the doctor's advice,and regularly reviewed.The experimental group was intervened by aerobic exercise mode on the basis of the control group.After 6 months of follow-up,the Hamilton anxiety scale,SF-36 quality of life scale,6-minute walking test and other tools were used to compare the rehabilitation effects.Results A total of 109 patients were included in this study,53 in the control group and 54 in the experimental group.There was no significant difference in baseline data between the two groups(P>0.05).The anxiety scores between the two groups before enrollment all met moderate anxiety(P=0.509).The anxiety score of the experimental group was lower than that of the control group(P<0.001).The SF-36 quality of life scale showed that except for physiological function and body pain,the other six scores in the experimental group were higher than those in the control group(P<0.05).After 6 months,the 6-minute walking test of the experimental group was greater than that of the control group(P<0.001).Conclusion Compared with simple health education,aerobic exercise rehabilitation program can better improve the anxiety of young and middle-aged patients with anxiety after PCI,and better improve their quality of life and exercise ability.