Objective To discuss the influence of phased rehabilitation training on cardiopulmonary function and self-efficacy in elderly patients with coronary heart disease(CHD).Methods The elderly patients with CHD(n=71)were chosen from Beijing Chest Hospital and Beijing Rehabilitation Hospital affiliated to Capital Medical University from Jan.2020 to Jan.2023.All patients were divided into test group(n=36)and control group(n=35)by applying random digital table.The control group was given routine cardiac rehabilitation,and test group was given phased rehabilitation training.The clinical rehabilitation effect,cardiopulmonary function,self-efficacy,mental resilience and exercise tolerance changes were compared between 2 groups.Results The total effective rate of rehabilitation was significantly higher in test group than that in control group(88.89%vs.68.57%,P<0.05).The difference in cardiopulmonary function had no statistical significance between 2 groups before the intervention(P>0.05).The levels of left ventricular ejection fraction(LVEF),anaerobic threshold oxygen consumption(VO2AT)and the maximal oxygen uptake(VO2max)increased in 2 groups after the intervention,which was more significant in test group(P<0.05).The level of the maximum heart rate(HRmax)decreased in 2 groups after the intervention,which was more significant in test group(P<0.05).The management levels of symptoms,compliance,daily life,emotion,data and self-efficacy increased in 2 groups after the intervention,which was more significant in test group(P<0.05).After the intervention,the levels of optimism,self-reliance and tenacity increased in 2 groups after the intervention,which was more significant in test group(P<0.05).The level of exercise tolerance had no statistical difference in 2 groups before the intervention(P>0.05).The levels of 6-minute walk distance(6MWD)and exercise tolerance increased in 2 groups after the intervention,which was more significant in test group(P<0.05).Conclusion The phased rehabilitation training has a better effect and can improve cardiopulmonary function and self-efficacy in elderly CHD patients.
关键词
冠心病/心肺功能/自我效能/老年
Key words
Coronary heart disease/Cardiopulmonary function/Self-efficacy/Advanced age
维普
万方数据