Effect of Staged Rehabilitation Exercises Based on King's Goal Attainment Scaling on Cardiac Function Indicators and Tei Index in Patients with Coronary Artery Disease after PCI
Objective To investigate the effect of staged rehabilitation exercises based on King's goal attainment scaling on cardiac function indicators and Tei index in patients with coronary artery disease after percutaneous coronary intervention(PCI).Methods A total of 120 patients with coronary artery disease who underwent PCI in the Affiliated Huaian No.1 People's Hospital of Nanjing Medical University from June to October 2024 were selected as the research subjects,and divided into the conventional rehabilitation group and staged rehabilitation group using a random number table method,with 60 patients in each group.The conventional rehabilitation group received conventional rehabilitation intervention,and the staged rehabilitation group implemented the staged rehabilitation exercises based on King's goal attainment scaling,with an intervention time of 12 weeks for both groups.The cardiac function indicators[left ventricular ejection fraction(LVEF),cardiac output(CO),heart rate(HR),left ventricular end-diastolic volume(LVEDV),left ventricular end-diastolic pressure(LVEDP)],maximum oxygen consumption(VO2max),Tei index and quality of life(assessed by SF-36 Scale)before and after intervention and degree of satisfaction were compared between the two groups.Results After intervention,the LVEF,CO in the two groups were higher than those before intervention,the LVEDV was smaller than that before intervention,the LVEDP was lower than that before intervention,respectively(P<0.05).After intervention,the LVEF,CO in staged rehabilitation group were higher than those in conventional rehabilitation group,the LVEDV was smaller than that in conventional rehabilitation group,the LVEDP was lower than that in conventional rehabilitation group(P<0.05).After intervention,the VO2max in the two groups was higher than that before intervention,the Tei index was lower than that before intervention,respectively(P<0.05).After intervention,the VO2max in staged rehabilitation group was higher than that in conventional rehabilitation group,the Tei index was lower than that in conventional rehabilitation group(P<0.05).After intervention,the scores of physical function,physical role limitations,general health,vitality,social function,emotional role limitations and mental health dimensions in the two groups were higher than those before intervention,respectively,and those in staged rehabilitation group were higher than those in conventional rehabilitation group(P<0.05).The degree of satisfaction in staged rehabilitation group was higher than that in conventional rehabilitation group(P<0.05).Conclusion Staged rehabilitation exercises based on King's goal attainment scaling can improve cardiac function,increase VO2max,decrease Tei index,and improve quality of life and satisfaction in patients with coronary heart disease after PCI.
Coronary diseaseCardiac rehabilitationPercutaneous coronary interventionKing's goal attainment scalingCardiac function indicatorsTei index
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维普
