国际护理科学（英文）2021，Vol.8Issue(3)：257-263,后插1,8.
冠心病患者术后运动能力及影响因素的调查研究
Retrospective analysis of exercise capacity in patients with coronary artery disease after percutaneous coronary intervention or coronary artery bypass graft
摘要
Abstract
Objectives:To describe the current state of exercise capacity as well as to identify its predictors in pa-tients with coronary artery disease (CAD) following percutaneous coronary intervention (PCI) or coro-nary artery bypass graft (CABG) in the mainland of China.Methods:A retrospective study design was employed.We evaluated 230 CAD patients following PCI or CABG in a cardiac rehabilitation center from January 2019 to October 2019.The patients were referred to undergo incremental cardiopulmonary exercise testing with a cycle ergometer.The Zung Self-Rating Anxiety Scale and the Zung Self-Rating Depression Scale were used to evaluate patients' mental health.Statistical analysis was performed using the chi-square test,Fisher's exact test,t-test,Mann-Whitney U test,and binary logistic regression.Results:Among the 230 patients,223 patients demonstrated reduced exercise capacity.Resutlts of the logistic regression analysis showed that anxiety (OR =1.13,95％ CI 1.01-1.32,P =0.029) was an inde-pendent risk factor for reduced exercise capacity in patients following the PCI or CABG.Conclusions:Exercise capacity of Chinese CAD patients after PCI or CABG was relatively poor.Alleviating symptoms of anxiety and making exercise prescriptions according to the results of the cardiopulmonary exercise test should be considered during the intervention to improve CAD patients' exercise capacity.关键词
冠心病/冠状动脉旁路移植术/经皮冠状动脉介入治疗/运动耐力/运动试验/心脏康复/焦虑/抑郁Key words
Anxiety/Coronary artery bypass/Coronary artery disease/Cardiac rehabilitation/Depression/Exercise test/Exercise tolerance/Percutaneous coronary intervention引用本文复制引用
李莺,冯雪,陈碧云,刘华平..冠心病患者术后运动能力及影响因素的调查研究[J].国际护理科学（英文）,2021,8(3):257-263,后插1,8.
