家庭康复指导在冠心病介入术后患者心功能训练中的应用价值

The applying values analysis of family rehabilitation guidance in the heart function training for the coronary heart disease patients after interventional therapy

目的 探讨家庭康复指导在冠心病介入术后患者心功能训练中的应用价值.方法 2015年2～10月在解放军总医院诊治的冠心病介入术后患者84例,根据随机数字表法分为观察组和对照组,每组各42例.对照组给予常规心功能训练护理,观察组在对照组护理的基础上由2名主管护师实施一对一的家庭康复指导,护理观察时间为12周,观察两组预后情况.结果 护理后观察组的运动锻炼、人际间支持、营养、健康责任、自我实现、压力管理评分都明显高于对照组（P＜0.05）.观察组与对照组护理后的6 min步行试验距离分别为（395.44,±89.13）m和（356.90±81.35）m,都明显高于护理前的（332.45±45.98）m和（334.10±60.39）m（P＜0.05）,组内与组间对比差异明显（P＜0.05）.护理后观察组的心理、生理、社交与躯体化等生活质量评分明显低于对照组（P＜0.05）.护理期间观察组的非致死性心肌梗死、靶病变重建和全因死亡等主要不良心血管事件发生明显少于对照组（P＜0.05）.结论家庭康复指导在冠心病介入术后患者心功能训练中的应用能促进心功能的改善,有利于生活方式的转变和生活质量的提高,减少主要不良心血管事件的发生,值得推广应用.

Objective To investigate the applying values of family rehabilitation guidance in the heart function training for the coronary heart disease patients after interventional therapy. Methods From February 2015 to October 2015 in our hospital, 84 coronary heart disease patients after interventional therapy were selected and equally divided into observation group and control group based on the random number table, the control group was received conventional nursing training cardiac function, and the observation group was added family rehabilitation guidance by the two charge nurses based on the control group. The nursing observation times in the two groups were 12 weeks, and the prognosis in the two groups was observed. Results The interpersonal support, nutrition, health responsibility, self-fulfillment, stress management scores after care in the observation group were significantly higher than the control group （P〈0.05）. The 6 min walk distance after care in the observation group and control group were （395.44±89.13）m and （356.90±81.35）m that were significantly higher than before care of （332.45±45.98）m and （334.10±60.39）m in the two groups （P〈0.05）, while compared between the two groups were significant difference（P〈0.05）. The psychological, physiological, social and somatization quality of life scores after care in the observation group were significantly lower than the control group （P〈0.05）. The nonfatal myocarS dial infarction, target lesion revaseularization and all-cause mortality and other major adverse cardiovascular events incidences in the observation group during care were significantly less than the control group （P〈0.05）. Conclusion Family rehabilitation guidance for the coronary heart disease patients after interventional therapy can promote the improvement of cardiac function, it is conducive to change lifestyle and improve quality of life, it can reduce the occurrence of major adverse cardiovascular events that should be widely applied.