院外心脏康复在冠心病PCI术后患者中的应用

Chunhong Gao, Wu Jinfeng, Xiaolin Hu, Jingyuan Wang, Zhang Yulu, D. Wenjie
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引用次数: 0

摘要

目的探讨冠心病患者经皮冠状动脉介入治疗(PCI)后院外心脏康复的效果。方法选择2017年1月至2018年3月在江苏省医院老年医学科接受PCI治疗的70例冠心病患者为研究对象,采用方便抽样法。将70例患者随机分为对照组和实验组,每组35例。两组均在医院进行常规治疗和护理。对照组出院后实施门诊随访;实验组采用院外心脏康复治疗。两组患者的随访时间为一年。本研究比较了两组患者的西雅图心绞痛问卷(SAQ)、焦虑自评量表(SAS)评分及危险因素。结果实验组患者出院后3、6、12个月SAS评分均低于对照组,差异有统计学意义(P<0.05),两组患者出院3、6和12个月SAQ维度评分均高于入院时;实验组同期SAQ评分均高于对照组,差异有统计学意义(P<0.05);血糖和脂肪均低于对照组;结论院外心脏康复护理能减轻冠心病PCI患者的焦虑,控制或减少危险因素,改善病情,是一种适合PCI患者长期管理的方法。关键词:焦虑;冠心病;心脏康复;心绞痛;经皮冠状动脉介入治疗
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Application of out-of-hospital cardiac rehabilitation in coronary disease patients after PCI
Objective To explore the effects of out-of-hospital cardiac rehabilitation in coronary disease patients after percutaneous coronary intervention (PCI) . Methods From January 2017 to March 2018, this study selected 70 coronary disease patients with PCI in Department of Geriatric Medicine at Jiangsu Province Hospital as subjects by convenience sampling. Those 70 patients were randomly divided into control group and experimental group, 35 cases in each group. Two groups all carried out routine treatment and nursing in hospital. Control group implemented outpatient follow-up after discharge; experimental group adopted out-of-hospital cardiac rehabilitation. The follow-up for patients of two groups lasted one year. This study compared the scores of Seattle Angina Questionnaire (SAQ) , Self-rating Anxiety Scale (SAS) and risk factors of patients between two groups. Results The scores of SAS of experimental group were lower than those of control group 3, 6, 12 months after discharge with statistical differences (P<0.05) . The dimension scores of SAQ of patients between two groups 3, 6, 12 months after discharge were higher than those of admission; the scores of SAQ of experimental group were higher than those of control group in the same period with statistical differences (P<0.05) . A total of 12 months after discharge, the body mass index (BMI) of patients in experimental group was higher than that in control group; the blood glucose and fat were lower than those in control group; the patients with smoking was less than that in control group with statistical differences (P<0.05) . Conclusions Out-of-hospital cardiac rehabilitation nursing can relieve the anxiety of coronary disease patients with PCI and control or reduce the risk factors so as to improve the disease condition which is a method suitable for long-term management of PCI patients. Key words: Anxiety; Coronary disease; Cardiac rehabilitation; Angina pectoris; Percutaneous coronary intervention
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