Effects of cardiac rehabilitation exercise combined with seated defecation bowel training on early cardi-ac function and gastrointestinal function in AMI patients after PCI
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维普
目的:探究心脏康复运动联合坐位排便肠道训练对经皮冠状动脉介入(PCI)术后急性心肌梗死(AMI)患者早期心脏功能及胃肠道功能的影响.方法:选择2020年2月到2022年2月哈尔滨医科大学附属第一医院收治的行PCI术AMI患者120例,采用随机数字表法分为对照组(60例,心脏康复运动)和干预组(60例,心脏康复运动加用坐位排便肠道训练).比较两组心功能、自我管理能力、满意度及排便相关指标.结果:与对照组比较,干预组左室射血分数(LVEF)[(51.45±2.82)％比(55.13±2.32)％]、冠心病自我管理量表(CSMS)评分[(105.33±5.10)分比(109.44±8.44)分]和纽卡斯尔护理满意度量表(NSNS)评分[(82.36±7.01)分比(87.24±7.82)分]显著升高、左室舒张末内径(LVEDd)[(52.69±4.69)mm 比(46.81±3.81)mm]显著降低(P均＜0.01).与对照组比较,干预组首次排便时间[(2.59±0.56)d比(2.30±0.54)d]、排便耗时[(7.03±2.01)min 比(4.15±0.86)min]、排便费力程度 Borg 评分[(9.88±1.39)分比(8.87±1.99)分]、术后1个月便秘发生率(15.52％比3.70％)显著降低,便后舒适感评分[(7.14±1.39)分比(8.24±1.59)分]显著升高(P＜0.05或＜0.01).结论:心脏康复运动联合坐位排便肠道训练可显著改善急性心肌梗死患者PCI术后心功能、自我管理能力及排便功能,值得临床推广.
Objective:To investigate the effects of cardiac rehabilitation exercise combined with seated defecation bowel training on early cardiac function and gastrointestinal function in patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI).Methods:A total of 120 AMI patients undergoing PCI in First Affiliated Hospital of Harbin Medical University between February 2020 and February 2022 were selected,di-vided into control group(n=60,cardiac rehabilitation exercise)and intervention group(n=60,cardiac rehabilita-tion exercise combined with seated defecation bowel training)by random number table method.Cardiac function,self-management ability,satisfaction and defecation-related indexes were compared between two groups.Results:Compared with patients in control group,those in intervention group had significant higher left ventricular ejection fraction(LVEF)[(51.45±2.82)％vs.(55.13±2.32)％],scores of Coronary Self-Management Scale(CSMS)[(105.33±5.10)points vs.(109.44±8.44)points]and Newcastle Satisfaction with Nursing Scales(NSNS)[(82.36±7.01)points vs.(87.24±7.82)points],and significant lower left ventricular end-diastolic diameter(LVEDd)[(52.69±4.69)mm vs.(46.81±3.81)mm](P＜0.01 all).Patients in intervention group had signifi-cant lower first defecation time[(2.30±0.54)d vs.(2.59±0.56)d],defecation duration[(4.15±0.86)min vs.(7.03±2.01)min],Borg score of defecation strenuous degree[(8.87±1.99)points vs.(9.88±1.39)points]and incidence of constipation on 1 month after PCI(3.70％vs.15.52％),and significant higher post-defecation com-fort score[(8.24±1.59)points vs.(7.14±1.39)points]compared with those in control group(P＜0.05 or＜0.01).Conclusion:Cardiac rehabilitation exercise combined with seated defecation bowel training can significantly improve cardiac function,self-management ability and defecation function in AMI patients undergoing PCI,which is worth clinical promotion.
Myocardial infarctionAngioplasty,balloon,coronaryRehabilitationToilet Training
万方数据
维普
