采用行动研究法指导冠心病患者进行康复训练的效果研究

Application of action study on guiding rehabilitation of patients with coronary heart disease

目的：研究采用行动研究法指导冠心病患者进行康复训练的效果。方法回顾性分析2013年1—12月期间收治的200例冠心病患者的临床资料，以2013年1—6月期间100例冠心病患者为观察组，以2013年7—12月期间100例冠心病患者为对照组，对照组患者给予常规运动康复训练，观察组患者给予行动研究法康复训练。对比两组患者干预前后的心肺功能各项指标、速度、坡度、6 min步行距离（6MWD）、运动能力和活动强度。结果干预前观察组和对照组患者的心肺功能各项指标、速度、坡度、6MWD、运动能力和活动强度差异无统计学意义（ P〉0.05）。干预后观察组和对照组患者的心肺功能各项指标、速度、坡度、6MWD、运动能力和活动强度较训练前均改善，且观察组患者的心肺功能各项指标、速度、坡度、6MWD、运动能力和活动强度均优于对照组患者，差异具有统计学意义（ P〈0.05）。结论采用行动研究法指导冠心病患者进行运动康复训练，能够显著改善患者的心肺功能和运动能力。

Objective To explore the effect of action study on rehabilitation training in patients with coronary heart disease （CHD）.Methods The clinical data of 200 patients with coronary heart disease treated in our hospital during January 2013 to December 2013 was retrospectively analyzed. The experimental group including 100 patients with coronary heart disease during January 2013 to June 2013 were given rehabilitation training based on action study, and the control group including 100 patients with coronary heart disease was given regular sports rehabilitation. These functional indicators of heart and lung including speed, slope, 6 minuter walking distance （6MWD）, exercise capacity and activity intensity was compared before and after therapy in both groups. Results The functional indicators of heart and lung in experimental group and control group showed no difference before given intervention （ P〉0.05）, and all functional indicators of heart and lung including speed, slope, 6MWD, exercise capacity and activity intensity in both groups were improved after given intervention. The functional indicators of heart and lung including speed, slope, 6MWD, exercise capacity and activity intensity in experimental group were better than those in control group （ P〈0. 05 ） . Conclusions Rehabilitation training based on action study is effective in improving the exercise capacity and cardio-pulmonary function in patients with coronary heart disease.