护理研究2017，Vol.31Issue(9)：1043-1048,6.DOI:10.3969/j.issn.1009-6493.2017.09.007
太极运动方案对急性心肌梗死介入治疗病人心脏康复效果的影响
Influence of Tai Chi exercise program on cardiac rehabilitation in patients with acute myocardial infarction under-going percutaneous coronary intervention
摘要
Abstract
Objective:To probe into the effect of Tai Chi exercise program on cardiac rehabilitation in patients with acute myocardial infarction after percutaneous coronary intervention.Methods:80 patients with acute myo-cardial infarction after percutaneous coronary intervention were randomly divided into observation group and control group,40 cases in each.The control group was given the routine exercise nursing,while the observation group was given the Tai Chi exercise program.The cardiac function of patients was evaluated in two groups by using 6 min patients walking test(6MWT),plasma B type natriuretic peptide(Pro- BNP)concentration,left ventricular ejection fraction(LVEF)respectively before and after the intervention,and the patients'quality of life,daily life ability and sense of congruence situation were evaluated by using the MOS Item Short From Health Survey(SF-36),Ability Daily Life Scale(ADL),the Sense of Coherence Scale(SOC -13).Results:The difference of patients'6MWT,Pro BNP and LVEF between the two groups after the intervention of 6 weeks and 12 weeks was statistically significant(P<0.05).After the intervention of 6 weeks and 12 weeks,the differ-ence of patients'8 dimensions scores of body function,physical function,bodily pain,general health,vitality,so-cial function,emotional function and mental health in SF-36 scale between the two groups were all statistically significant(P<0.05).After the intervention of 6 weeks and 12 weeks,the difference of patients'2 dimensions scores of physical self-care and instrumental self-care in ADL scale between the two groups were all statisti-cally significant(P<0.05).After the intervention 6 weeks and 12 weeks,the difference of patients'3 dimen-sions scores of sense of intelligibility,sense of control,sense of meaning in SOC-13 scale between the two groups were all statistically significant(P<0.05).Conclusions:The Tai Chi exercise program could significantly improve the cardiac function and quality of life of patients with acute myocardial infarction after percutaneous coronary intervention,and improve the effect of cardiac rehabilitation.关键词
太极运动/急性心肌梗死/心脏康复/心功能/生活质量/日常生活能力/心理一致感/经皮冠状动脉介入治疗Key words
Tai Chi exercise/acute myocardial infarction/cardiac rehabilitation/cardiac function/quality of life/a-bility of daily living/psychological coherence/percutaneous coronary intervention分类
医药卫生引用本文复制引用
刘静,王蓓,梁春,王家美,华丽..太极运动方案对急性心肌梗死介入治疗病人心脏康复效果的影响[J].护理研究,2017,31(9):1043-1048,6.基金项目
上海市护理学会 2016 年度学会级立项课题,编号:2016MS-B0-8. （）
