摘要
目的:探究远程运动想象疗法对重症冠心病(CHD)患者经皮冠状动脉介入手术(PCI)术后康复效果的影响。方法:选择2022年1月-2024年1月期间河北北方学院附属第一医院收治的164例行PCI手术的重症CHD患者,按照随机数字表法分为对照组(实施常规居家护理干预)和干预组(在对照组的干预方案基础上同步实施远程运动想象疗法),均为82例。两组均干预8周。对比两组疼痛、心理情绪、日常生活能力、运动功能、跌倒指标差异。结果:干预后,与对照组比较,干预组的视觉模拟评分(VAS)[(2.03±0.81)分比(5.14±0.84)分]、医院焦虑抑郁量表(HADS)焦虑亚量表(HADS-A)评分[(4.89±0.84)分比(9.05±0.78)分]、HADS抑郁亚量表(HADS-D)评分[(5.31±1.10)分比(10.13±0.82)分]、HADS总分[(10.20±1.39)分比(19.18±1.18)分]显著降低(P均<0.001),并且6min步行距离(6MWD)[(439.31±16.51)m比(364.94±12.76)m]、峰值摄氧量(VO 2peak)[(20.28±2.40)ml·kg^(-1)·min^(-1)比(17.26±1.35)ml·kg^(-1)·min^(-1)]、无氧阈值氧耗量(VO 2AT)[(17.04±1.18)ml·kg^(-1)·min^(-1)比(13.62±1.16)ml·kg^(-1)·min^(-1)]、中文修正版跌倒效能量表(MFES)[(107.28±4.84)分比(87.41±4.73)分]、日常生活活动能力量表(ADL)[(78.95±3.92)分比(68.00±4.10)分]、Barthel指数[(85.83±2.50)分比(69.79±3.42)分]评分均显著升高(P均<0.001)。干预组的跌倒发生率显著低于对照组(7.50%比21.25%,P=0.013)。结论:远程运动想象疗法可增强重症CHD患者PCI术后运动功能并提升日常生活能力,缓解患者疼痛与负面情绪。
Objective:To explore the effect of remote motor imagery therapy on rehabilitation of patients with severe coronary heart disease(CHD)after percutaneous coronary intervention(PCI).Methods:This randomized controlled study enrolled 164 patients with severe CHD undergoing PCI who admitted in the First Affiliated Hospital of Hebei North University between January 2022 and January 2024.Patients were divided into control group(n=82)and intervention group(n=82).Patients in the control group was given conventional home nursing intervention comparing to those in the intervention group receiving additional remote motor imagery therapy.Both groups were intervened for 8 weeks.Indexes of pain,psychological emotion,ability of daily living,motor function and fall were compared between two groups.Results:Compared to those in control group after intervention,patients in intervention group had significant lower scores of visual analogue scale(VAS)[(2.03±0.81)points vs.(5.14±0.84)points],the Hospital anxiety and depression scale(HADS)anxiety subscale(HADS-A)[(4.89±0.84)points vs.(9.05±0.78)points],HADS depression subscale(HADS-D)[(5.31±1.10)points vs.(10.13±0.82)points],HADS total score[(10.20±1.39)points vs.(19.18±1.18)points](P<0.001 all),and significant higher 6-min walking distance(6MWD)[(439.31±16.51)m vs.(364.94±12.76)m],peak oxygen uptake(VO 2peak)[(20.28±2.40)ml·kg^(-1)·min^(-1) vs.(17.26±1.35)ml·kg^(-1)·min^(-1)],anaerobic threshold oxygen consumption(VO 2AT)[(17.04±1.18)ml·kg^(-1)·min^(-1) vs.(13.62±1.16)ml·kg^(-1)·min^(-1)],scores of Chinese modified Fall Efficacy Scale(MFES)[(107.28±4.84)points vs.(87.41±4.73)points],ability of daily living(ADL)scale[(78.95±3.92)points vs.(68.00±4.10)points]and Barthel index[(85.83±2.50)points vs.(69.79±3.42)points](P<0.001 all).We detected significant lower incidence of falling(7.50%vs.21.25%)in the intervention group compared to control group(P=0.013).Conclusion:Remote motor imagery therapy may strengthen motor function and ability of daily living,and relieve pain and negative emotions in patients with severe CHD after PCI.
作者
郝俊霞
李聪聪
田亚男
侯晓鑫
HAO Jun-xia;LI Cong-cong;TIAN Ya-nan;HOU Xiao-xin(Intensive Care Unit of Coronary Heart Disease,the First Affiliated Hospital of Hebei North University,Zhangjiakou,Hebei,075000,China)
出处
《心血管康复医学杂志》
2025年第4期565-570,共6页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
冠心病
血管成形术
气囊
冠状动脉
康复
护理
Coronary disease
Angioplasty,balloon,coronary
Rehabilitation
Nursing care
作者简介
通讯作者:侯晓鑫,E-mail:849288898@qq.com。
