摘要
目的探讨渐进式抗阻训练联合正念干预对急性心肌梗死患者术后康复的影响。方法选取天津市胸科医院心内科2020年9月至2022年5月接收的74例行经皮冠状动脉介入术(PCI)治疗的急性心肌梗死患者,根据随机数字表分为对照组(给予常规康复训练)与干预组(给予渐进式抗阻训练联合正念干预),各37例,观察两组12周后的运动耐力、心功能及应对方式变化。结果渐进式抗阻训练联合正念干预后,干预组的峰值氧耗量(VO_(2)peak)、无氧代谢阈值氧耗量(VO_(2)AT)AT水平分别为(19.57±5.38)L/min、(15.88±5.42)L/min,显著高于对照组的(17.74±5.85)L/min、(13.28±5.66)L/min,P<0.001;干预组的左室舒张末期内径(LVEDD)、左室收缩末期内径(LVESD)水平分别为(36.32±5.42)mm、(42.62±5.61)mm,显著低于对照组的(40.35±5.31)mm、(54.64±5.67)mm,干预组左室射血分数(LVEF)水平为(47.41±5.27)%,显著高于对照组的(44.28±6.55)%,P<0.05;干预组的积极应对评分为(32.57±6.38)分,显著高于对照组的(28.74±6.85)分,干预组的消极应对评分为(7.88±1.42)分,显著低于对照组的(9.28±1.66)分,P<0.05。结论对急性心肌梗死术后患者给予渐进式抗阻训练联合正念干预,能够有效提高患者运动耐力,改善患者心功能,帮助患者建立积极应对方式。
Objective To explore the effect of progressive resistance training combined with mindfulness intervention on postoperative rehabilitation of patients with acute myocardial infarction.Methods A total of 74 patients with acute myocardial infarction who underwent percutaneous coronary intervention(PCI)in Tianjin Chest Hospital from September 2020 to May 2022 were selected.According to the random number table,they were divided into the control group(given routine rehabilitation training)and the intervention group(given progressive resistance training combined with mindfulness intervention),37 cases in each group.The exercise endurance,cardiac function and coping style of the two groups were observed after 12 weeks.Results After progressive resistance training combined with mindfulness intervention,the levels of VO_(2)peak and VO_(2)AT in the intervention group were(19.57±5.38)L/min and(15.88±5.42)L/min,respectively,which were significantly higher than those in the control group(17.74±5.85)L/min and(13.28±5.66)L/min,respectively,P<0.001;The levels of LVEDD and LVESD in the intervention group were(36.32±5.42)mm and(42.62±5.61)mm,respectively,which were significantly lower than those in the control group(40.35±5.31)mm and(54.64±5.67)mm.The level of LVEF in the intervention group was(47.41±5.27)%,which was significantly higher than that of the control group(44.28±6.55)%,P<0.05;The positive coping score of the intervention group was(32.57±6.38),which was significantly higher than that of the control group(28.74±6.85).The negative coping score of the intervention group was(7.88±1.42),which was significantly lower than that of the control group(9.28±1.66),P<0.05.Conclusion Progressive resistance training combined with mindfulness intervention for patients with acute myocardial infarction after surgery can effectively improve their exercise endurance,improve their cardiac function and help them establish positive coping styles.
作者
许嘉慧
邱杰
Xu Jiahui;Qiu Jie
出处
《中国疗养医学》
2022年第12期1287-1290,共4页
Chinese Journal of Convalescent Medicine
关键词
渐进式抗阻训练
正念干预
急性心肌梗死
经皮冠状动脉介入术
运动耐力
Progressive resistance training
Mindfulness intervention
Acute myocardial infarction
Percutaneous coronary intervention
Exercise endurance
作者简介
通信作者:邱杰,895416348@qq.com。
