摘要
目的:探讨个体化心脏康复教育模式在急性心肌梗死(AMI)患者经皮冠状动脉介入(PCI)围术期心脏康复健康教育中的应用效果。方法:选取南阳医学高等专科学校第一附属医院2019年3月至2020年1月确诊为AMI并顺利行PCI术患者88例,按照随机数表法分为观察组和对照组,各44例。对照组患者予以常规院内健康教育及院外指导,观察组患者开展个体化心脏康复教育模式,比较两组患者干预前后疾病相关心脏康复知识水平掌握情况、运动依从性及6 min步行试验促心脏康复运动效果。结果:观察组患者疾病知识、危险因素、运动锻炼、社会心理风险及总分均高于对照组,差异具有统计学意义(P<0.05);观察组患者微信计步、佩戴心率带显示运动量达标率均高于对照组,差异具有统计学意义(P<0.05);干预后,观察组患者6 min步行距离长于对照组,差异具有统计学意义(P<0.05)。结论:个体化心脏康复教育模式提升AMI患者PCI围术期心脏康复认知情况,改善有氧运动耐量及康复运动依从性。
Objective To explore the application effect of individualized cardiac rehabilitation education model in patients with acute myocardial infarction(AMI)percutaneous coronary intervention(PCI)perioperative period rehabilitation health education.Methods A total of 88 patients diagnosed with AMI and successfully underwent PCI in the First Affiliated Hospital of Nanyang Medical College from March 2019 to January 2020 were selected and divided into an observation group and a control group according to the random number table method,with 44 cases in each group.Patients in the control group were given routine in-hospital health education and out-of-hospital guidance,and patients in the observation group were given individualized cardiac rehabilitation education mode.The knowledge level of disease-related cardiac rehabilitation,exercise compliance and the effect of 6 min walking test on cardiac rehabilitation exercise before and after intervention were compared between the two groups.Results The disease knowledge,risk factors,exercise,social psychological risk and total score of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The wechat step counting and wearing heart rate monitor in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the intervention,the 6 min walking distance of the observation group was longer than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The individualized cardiac rehabilitation education model can improve the cognition of cardiac rehabilitation in AMI patients during the perioperative period of PCI,improve aerobic exercise tolerance and rehabilitation exercise compliance.
作者
苏楠楠
姚晓群
闫博
SU Nan-nan;YAO Xiao-qun;YAN Bo(The First Affiliated Hospital of Nanyang Medical College,Henan Nanyang 473000)
出处
《深圳中西医结合杂志》
2022年第22期134-136,共3页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
基金
河南省医学科技攻关计划项目(LHGJ20190625)
关键词
急性心肌梗死
经皮冠状动脉介入
个体化心脏康复教育模式
Acute myocardial infarction
Percutaneous coronary intervention
Individualized cardiac rehabilitation education model
作者简介
苏楠楠,女,护师,主要研究方向是心脏大血管外科方面。
