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OACSTPCD
Effects of community-family integrated stage Ⅲ cardiac rehabilitation on self-efficacy and exercise capacity in elderly patients with coronary heart disease
目的 探讨社区-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.方法 选取2020年12月至2022年12月在该中心就诊的200例老年冠心病经皮冠状动脉介入(PCI)术后患者作为研究对象,采用随机数字表法分为对照组和观察组,每组各100例.对照组患者接受常规干预,观察组患者在对照组基础上接受社区-家庭一体化的Ⅲ期心脏康复.比较两组患者康复前及康复6个月后自我效能感、自我管理能力及运动能力,并记录两组患者康复1、6个月后主要不良心血管事件(MACE)发生情况.结果 两组患者康复6个月后心脏自我效能问卷、自我管理能力量表评分均明显高于康复前,且观察组高于对照组,差异均有统计学意义(P＜0.05).两组患者康复6个月后6 min步行距离及峰值摄氧量均明显高于康复前,且观察组高于对照组,差异均有统计学意义(P＜0.05).两组患者康复1个月后MACE发生率比较,差异无统计学意义(P＞0.05);但观察组患者康复6个月后MACE发生率明显低于对照组,差异有统计学意义(P＜0.05).结论 社区-家庭一体化的Ⅲ期心脏康复有助于提升老年冠心病患者PCI术后的自我效能感和自我管理能力,增强患者运动能力,降低PCI术后中远期MACE发生风险,值得临床推广使用.
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.
王彩霞;薛燕文;吴骏;孙志辉;杜勇平
上海市浦东新区金桥社区卫生服务中心全科门诊,上海 201206
临床医学
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
coronary heart diseasecommunity-family integrated stage Ⅲ cardiac rehabilitationself-efficacyexercise abilitythe elderly
《检验医学与临床》 2024 (002)
166-169 / 4
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).
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