基于优护+平台的HAPA量化运动管理对冠心病患者运动依从性影响的研究

Effect of HAPA Qualitiative Exercise Management on Exercise Compliance of Patients with Coronary Heart Disease Based on Excellent Care Platform

目的帮助稳定性冠心病患者出院后,有效提高运动依从性,真正实现冠心病患者院外的自我健康管理。方法随机数字表法将昆明医科大学附属延安医院全科医学科心血管病区稳定性冠心病患者70例,分为对照组35例、干预组35例。对照组实施心脏康复护理,干预组在心脏康复护理中构建“基于优护+平台的HAPA量化运动管理模式”。对比分析“基于优护+平台的HAPA量化运动管理模式”对2组患者运动依从性的影响。结果干预12周后,干预组运动频率多于对照组,差异有统计学意义(P<0.05);干预12周后,干预组运动时间多于对照组,差异有统计学意义(P<0.05);2组每周运动时间情况进行重复测量方差分析,时间效应、组间效应、交互效应均有统计学意义(P<0.01)。干预后6周和12周,对比每周运动时长,干预组均优于对照组,差异均有统计学意义(P<0.05)。且干预组每周运动时长,随着时间进展,增加幅度和速度优于对照组。结论“基于优护+平台的HAPA量化运动管理”可有效提高稳定性冠心病患者的运动依从性。量化版FITT运动管理方案既符合患者运动喜好,又促进安全、规律运动。HAPA针对患者不同行为阶段,实施对应的量化运动管理措施,促进患者的运动行为意向转化为外在行为。运用优护+平台对HAPA量化运动管理实施监督与指导,有效保障冠心病患者运动行为的产生与维持。

Objective Help stable patients with coronary heart disease effectively improve exercise compliance after discharge,and achieve self-health management for patients with coronary heart disease.Methods 70 patients with stable coronary heart disease were divided into control group(35 cases)and intervention group(35 cases)by random number table method.The control group recieved cardiac rehabilitation nursing,while the intervention group recieved a“HAPA quantitative exercise management model based on excellent care platform”in cardiac rehabilitation nursing care.The effect of"HAPA quantified exercise management mode based on excellent care platform on exercise compliance of patients in 2 groups was compared and analyzed.Results After 12 weeks of intervention,the exercise frequency in the intervention group was significantly higher than that in the control group(P<0.05).After 12 weeks of intervention,the exercise time in the intervention group was longer than that in the control group,with a statistically significant difference(P<0.05).Repeated measurement ANOVA was performed on the weekly exercise time of the two groups,and the time effect,inter-group effect and interaction effect were statistically significant(P<0.01).At 6 weeks and 12 weeks after intervention,the weekly exercise duration in the intervention group was better than that in the control group,with statistical significance(P<0.05).The duration of exercise per week in the intervention group was better than that in the control group as time progressed.Conclusion HAPA quantitative exercise management based on the excellence care platform"can effectively improve the exercise compliance of patients with stable coronary heart disease.The quantified FITT exercise management solution fits patients’exercise preferences while promoting safe,regular exercise.According to different behavioral stages of patients,HAPA implements corresponding quantitative exercise management measures to promote the transformation of patients’motor behavior intentions into external behaviors.The use the excellent care platform to supervise and guide the quantitative exercise management of HAPA effectively guarantees the generation and maintenance of exercise behavior in patients with coronary heart disease.