Effects of health guidance combined with rehabilitation exercise on psychological state and blood glucose index of patients with coronary heart disease complicated with diabetes after coronary artery bypass grafting
Objective To analyze the influence of health guidance combined with rehabilitation exercise on psychological state and blood glucose index of patients with coronary heart disease complicated with diabetes after coronary artery bypass grafting.Methods Seventy-six patients with coronary heart disease complicated with diabetes who underwent coronary artery bypass grafting in the First Affiliated Hospital of Zhengzhou University from March 2019 to June 2021 were randomly divided into control group(n=38)and observation group(n=38),all patients underwent coronary artery bypass grafting surgery.The control group received health guidance intervention,and the observation group applied rehabilitation exercise intervention on the basis of health guidance.Psychological state,blood glucose index,incidence of stress hyperglycemia and quality of life of the two groups were compared.Results On 1-day after intervention,HAMD and HAMA scores,fasting glucose and post-prandial 2 hours glucose levels of the two groups decreased compared with those before intervention,and HAMD and HAMA scores,fasting glucose and postprandial 2 hours glucose levels in the observation group were significantly lower compared to the control group(P＜0.05).There were 6 cases of stress hyperglycemia in control group,and the incidence was 15.79％.In the observation group,stress hyperglycemia occurred in 4 cases(10.53％).There was no significant difference in the incidence of stress hyperglycemia between the two groups(P=0.415).After intervention,the quality of life(physiological function,emotional function,social function and mental health score)of patients in the observation group was better compared to the control group(P＜0.05).Conclusion Rehabilitation exercise combined with health guidance can significantly improve the psychological state and blood glucose index of patients with coro-nary heart disease complicated with diabetes,which is worthy of clinical promotion.
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