摘要
目的分析格林模式健康教育与高强度间歇训练对行经皮冠状动脉介入(percutaneous coronary intervention,PCI)治疗冠心病患者的干预效果。方法选择2021年1月—2022年4月本院200例行PCI术的冠心病患者作为研究对象,按护理方式不同分为A组(102例)和B组(98例)两组。A组采用格林模式健康进行干预,B组采用常规护理结合高强度间歇性训练进行干预。观察两组患者干预前后心脏功能、6 min步行试验(6MWT)、生活质量及对护理的满意度、心血管不良事件(Major Adverse Cardiovascular Events,MACE)情况。结果两组患者的LVESD、LVEDD、LEVF指标仅在时点因素中,差异具有统计学意义(P<0.05);两组患者护理后的LVESD、LVEDD、LEVF指标明显低于护理前及术后即刻,差异具有统计学意义(P<0.05);两组患者的6MWT在时点因素、时点交互因素、组别因素中,差异具有统计学意义(P<0.05);两组患者护理后的6MWT指标明显高于护理前,差异具有统计学意义(P<0.05);A组患者护理后的6MWT指标明显高于B组,差异具有统计学意义(P<0.05);两组患者的情感得分、生活满意度、健康指数、社会指数在时点因素、时点交互因素、组别因素中,差异具有统计学意义(P<0.05);两组患者护理后的情感得分、生活满意度、健康指数、社会指数评分明显高于护理前,差异具有统计学意义(P<0.05);A组患者护理后的情感得分、生活满意度、健康指数、社会指数评分明显高于B组,差异具有统计学意义(P<0.05);两组患者对护理满意度存在差异(Z=-11.479,P<0.001);A组患者总满意度(97.06%)高于B组(88.78%),差异有统计学意义(P<0.05);两组患者MACE发生情况比较,差异无统计学意义(χ^(2)=0.248,P=0.618)。结论格林模式健康教育及高强度间歇性训练对行PCI的冠心病患者均具有较好效果,前者改善生活质量效果更佳,后者改善心肺功能效果更佳。
Objective To analyze the intervention effect of green mode health education and highintensity intermittent training on patients with coronary heart disease and underwent percutaneous coronary intervention(PCI).Methods The 200 patients suffered from coronary heart disease who underwent PCI in our hospital from January 2021 to April 2022 were enrolled as study subjects.The patients were divided into group A(102 cases)and group B(98 cases)according to the nursing methods adopted.Group A was intervened by green mode health education,and group B was intervened by routine nursing combined with high-intensity intermittent training.The cardiac function,6min walking test(6MWT),quality of life,satisfaction with nursing and major adverse cardiovascular events(MACE)were observed before and after the intervention.Results Results showed that LVESD,LVEDD and LEVF of the two groups were only significant difference in the time point factor(P<0.05).The indexes of LVESD,LVEDD and LEVF after nursing were significantly lower than those before nursing and immediately after surgery,and the differences were statistically significant(P<0.05).There were statistically significant differences in 6MWT between the two groups in time point factors,time point interaction factors and group factors(P<0.05).The 6MWT index of the two groups after nursing was significantly higher than that before nursing,and the difference was statistically significant(P<0.05).The 6MWT index of group A after nursing was significantly higher than that of group B,and the difference was statistically significant(P<0.05).There were statistically significant differences in emotional scores,life satisfaction,health index and social index between the two groups in time factors,time interaction factors and group factors(P<0.05).The emotional scores,life satisfaction,health index and social index scores of the two groups after nursing were significantly higher than those before nursing,and the differences were statistically significant(P<0.05).The emotional score,life satisfaction,health index and social index of patients in group A after nursing were significantly higher than those in group B,and the differences were statistically significant(P<0.05).There was a difference in nursing satisfaction between the two groups(Z=-11.479,P<0.001).The total satisfaction of patients in group A(97.06%)was higher than that in group B(88.78%),and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of MACE between the two groups(χ^(2)=0.248,P=0.618).Conclusions Green mode health education and high-intensity intermittent training present good effects on coronary heart disease patients those underwent PCI.The former one has good effect on improving quality of life,while the latter one has good effect on improving cardiopulmonary function.
作者
王刚
谢伦芳
王琼琼
Wang Gang;Xie Lunfang;Wang Qiongqiong(School of nursing,Anhui Sanlian college,Hefei,Anhui,230601,China;School of nursing,Anhui Medical University,Hefei,Anhui,230601,China;Emergency transfusion hall,the first affiliated hospital of Anhui Medical University,Hefei,Anhui,230022,China)
出处
《齐齐哈尔医学院学报》
2023年第2期182-186,共5页
Journal of Qiqihar Medical University
基金
2020年度安徽高校人文社会科学研究项目(SK2020A0628)
安徽三联学院2021年度校级科研基金项目(PTZD2021010)。
关键词
格林模式健康教育
高强度间歇性训练
冠心病
经皮冠状动脉介入治疗
Green model health education
High intensity intermittent training
Coronary heart disease
Percutaneous coronary intervention
作者简介
通信作者:王刚,Email:zjcwfdocboo@163.com。
