摘要
目的观察基于时机理论的家庭康复训练对不稳定型心绞痛(UAP)患者经皮冠状动脉介入治疗(PCI)术后的影响。方法84例行PCI治疗的UAP患者,按照住院先后顺序分为对照组和观察组,每组42例。对照组患者采用综合措施干预,观察组患者在对照组基础上予以基于时机理论的家庭康复训练干预。两组患者干预时间均为6个月。比较两组患者干预前后心功能指标[左室射血分数(LVEF)、6 min步行距离(6MWD)、纽约心脏病协会(NYHA)心功能分级]、生活质量评分及不良心血管事件(MACE)发生率。结果干预前,两组患者LVEF、6MWD、NYHA心功能分级比较,差异无统计学意义(P>0.05);干预后,两组患者LVEF、6MWD、NYHA心功能分级均明显优于本组干预前,且观察组患者LVEF(57.12±7.57)%高于对照组的(49.57±7.35)%,6MWD(436.91±24.76)m长于对照组的(417.17±23.93)m,NYHA心功能分级(1.37±0.35)级低于对照组的(1.71±0.42)级(P<0.05)。干预前,两组患者生活质量评分比较,差异无统计学意义(P>0.05);干预后,两组患者生活质量评分均高于本组干预前,且观察组患者心绞痛稳定状态、躯体活动受限程度、疾病认知程度、治疗满意程度、心绞痛发作情况评分分别为(83.51±9.12)、(81.96±8.57)、(81.95±8.75)、(81.73±9.12)、(81.07±9.15)分,均明显高于对照组的(70.17±8.13)、(71.35±7.84)、(72.06±7.92)、(71.74±8.01)、(70.45±8.74)分(P<0.05)。观察组患者MACE发生率(9.52%)明显低于对照组(26.19%)(P<0.05)。结论基于时机理论的家庭康复训练可改善UAP患者PCI术后心功能及生活质量,降低MACE发生率。
Objective To observe the effect of family rehabilitation training based on timing theory on patients with unstable angina pectoris(UAP)after percutaneous coronary intervention(PCI).Methods 84 patients with UAP treated by PCI were divided into control group and observation group according to the order of hospitalization,with 42 cases in each group.The control group was intervened by comprehensive measures,and the observation group was intervened by family rehabilitation training based on timing theory on the basis of the control group.The intervention time of the two groups was 6 months.Patients in both groups were compared in terms of cardiac function indexes[left ventricular ejection fraction(LVEF),6-min walking distance(6MWD)and New York Heart Association(NYHA)grading]before and after intervention,quality of life score,and the incidence of major adverse cardiovascular events(MACE).Results Before intervention,there was no significant difference in LVEF,6MWD and NYHA grading between the two groups(P>0.05).After intervention,LVEF,6MWD and NYHA grading in both groups were significantly better than those before intervention;LVEF of(57.12±7.57)%in the observation group was higher than(49.57±7.35)%in the control group,6MWD of(436.91±24.76)m was longer than(417.17±23.93)m in the control group,and NYHA grading of(1.37±0.35)grades was lower than(1.71±0.42)grades in the control group(P<0.05).Before intervention,there was no significant difference in quality of life score between the two groups(P>0.05).After intervention,the quality of life score in both groups were higher than that before intervention;the scores of angina stable state,physical activity limitation,disease cognition,treatment satisfaction and angina attack in the observation group were(83.51±9.12),(81.96±8.57),(81.95±8.75),(81.73±9.12)and(81.07±9.15)points,which were significantly higher than(70.17±8.13),(71.35±7.84),(72.06±7.92),(71.74±8.01)and(70.45±8.74)points in the control group(P<0.05).The incidence of MACE in the observation group(9.52%)was significantly lower than that in the control group(26.19%)(P<0.05).Conclusion Family rehabilitation training based on timing theory can improve the cardiac function and life quality of UAP patients after PCI,and reduce the incidence of MACE.
作者
彭君
吴华丽
PENG Jun;WU Hua-li(Department of Cardiovascular Medicine,Tianyou Hospital Affiliated to Wuhan University of Science and Technology,Wuhan 430064,China)
出处
《中国现代药物应用》
2025年第1期164-167,共4页
Chinese Journal of Modern Drug Application
关键词
时机理论
家庭康复训练
不稳定型心绞痛
经皮冠状动脉介入治疗
不良心血管事件
Timing theory
Family rehabilitation training
Unstable angina pectoris
Percutaneous coronary intervention
Adverse cardiovascular events
作者简介
通讯作者:吴华丽。
