检验医学与临床2024，Vol.21Issue(2)：166-169,4.DOI:10.3969/j.issn.1672-9455.2024.02.005
社区-家庭一体化的Ⅲ期心脏康复对老年冠心病患者自我效能及运动能力的影响
Effects of community-family integrated stage Ⅲ cardiac rehabilitation on self-efficacy and exercise capacity in elderly patients with coronary heart disease
摘要
Abstract
Objective To explore the effect of community-family integrated stage Ⅲ cardiac rehabilitation on self-efficacy and exercise capacity of elderly patients with coronary heart disease.Methods A total of 200 elderly patients with coronary heart disease after percutaneous coronary intervention(PCI)in the center from December 2020 to December 2022 were selected as the research objects,and they were divided into the control group and the observation group by random number table method,with 100 cases in each group.Patients in the control group received routine intervention,and patients in the observation group received community-family integrated stage Ⅲ cardiac rehabilitation on the basis of the control group.The self-efficacy,self-man-agement ability and exercise ability of the two groups were compared before and 6 months after rehabilitation,and the major adverse cardiovascular events(MACE)of the two groups were recorded 1 and 6 months after rehabilitation.Results After 6 months of rehabilitation,the scores of cardiac self-efficacy questionnaire and self-management ability scale of the two groups were significantly higher than those before rehabilitation,and those of the observation group were higher than those of the control group,and the differences were statisti-cally significant(P＜0.05).After 6 months of rehabilitation,the 6-minute walking distance and peak oxygen uptake of the two groups were significantly higher than those before rehabilitation,and those of the observa-tion group were higher than those of the control group,and the differences were statistically significant(P＜0.05).There was no statistically significant difference in the incidence of MACE between the two groups after 1 month of rehabilitation(P＞0.05).However,the incidence of MACE in the observation group was signifi-cantly lower than that in the control group 6 months after rehabilitation,and the difference was statistically significant(P＜0.05).Conclusion The community-family integrated stage Ⅲ cardiac rehabilitation can im-prove the self-efficacy and self-management ability of elderly patients with coronary heart disease after PCI,enhance the exercise ability of patients,and reduce the risk of MACE in the medium and long term after PCI,which is worthy of clinical application.关键词
冠心病/社区-家庭一体化的Ⅲ期心脏康复/自我效能/运动能力/老年Key words
coronary heart disease/community-family integrated stage Ⅲ cardiac rehabilitation/self-efficacy/exercise ability/the elderly分类
医药卫生引用本文复制引用
王彩霞,薛燕文,吴骏,孙志辉,杜勇平..社区-家庭一体化的Ⅲ期心脏康复对老年冠心病患者自我效能及运动能力的影响[J].检验医学与临床,2024,21(2):166-169,4.基金项目
上海市浦东新区卫生健康委员会卫生计生科研项目计划(PW2022A-61). （PW2022A-61）
