首页|护士指导下的渐进性有氧运动在中青年PCI术后焦虑患者心脏康复中的应用效果

护士指导下的渐进性有氧运动在中青年PCI术后焦虑患者心脏康复中的应用效果

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目的 本研究拟对比护士指导下的渐进性有氧运动康复方案与单纯健康宣教对经皮冠状动脉介入治疗(PCI)术后中青年焦虑患者心脏康复效果.方法 选取2022年1-7月在郑州大学第一附属医院心内科住院的具有中度及以上焦虑的中青年PCI术患者,随机分为试验组和对照组.对照组接受常规护理,出院前给予患者常规PCI术后心脏康复宣教,遵循医嘱用药,定期进行复查.试验组在对照组的基础上接受有氧运动模式进行干预.随访6个月后,使用汉密尔顿焦虑评分,SF-36生活质量量表,6分钟步行试验等工具进行康复效果对比.结果 本研究共纳入109例患者,对照组53例,试验组54例.两组患者的一般资料差异无统计学意义(P>0.05).入组前两组的焦虑评分均满足中度焦虑(P=0.509).6个月随访时试验组焦虑评分低于对照组(P<0.001).SF-36生活质量量表显示,除生理功能和身体疼痛外,其余6项评分试验组均高于对照组(P<0.05).6个月时,试验组的6分钟步行试验大于对照组(P<0.001).结论 与单纯健康宣教相比,护士指导下的渐进性有氧运动康复方案能够更好地改善PCI术后中青年焦虑患者的焦虑情绪,以及更好地改善其生活质量、提升运动能力.
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.

aerobic exercisepercutaneous coronary interventionpostoperative anxietycardiac rehabilitation

李会永、底瑞青、樊逍遥、李雪、孙少华

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郑州大学第一附属医院心血管内科二病区,河南郑州 450000

有氧运动 经皮冠状动脉介入治疗 术后焦虑 心脏康复

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(2)
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