基于行动研究法的康复训练对冠心病患者运动能力及肺功能的影响

Influence of rehabilitation training based on action research method on exercise capacity and pulmonary function in patients with coronary heart disease

目的:探讨冠心病患者实施基于行动研究法的康复训练对运动能力及肺功能的影响。方法:我院收治的冠心病患者132例被随机分为常规康复组(常规康复训练)、行动研究组(接受基于行动研究法的康复训练),各66例。疗程4周,对比两组护理后肺功能指标、运动能力、活动强度及生活质量等方面的训练效果。结果:经康复护理后,与常规康复组比较,行动研究组肺功能各指标均明显提高,活动平板坡度[(9.49±3.76)%比(12.91±3.49)%]、6min步行距离[(464.98±87.43)m比(498.16±93.56)m]、步行速度[(4.95±1.30)km/h比(5.61±1.12)km/h]以及问卷运动能力[(3.02±0.65)分比(4.66±1.34)分]、活动强度[(3.73±1.84)分比(4.79±1.25)分]和生活质量[(7.75±1.78)分比(10.35±0.61)分]评分均明显增加(P<0.05或<0.01)。结论:对冠心病患者实施基于行动研究法的康复训练有助于改善患者的运动能力和肺功能,提高生活质量,值得推广。

Objective：To explore effect of rehabilitation training based on action research method on exercise capacity and pulmonary function in patients with coronary heart disease（CHD）.Methods：A total of 132 CHD patients treated in our hospital were randomly and equally divided into routine rehabilitation group（received routine rehabilitation training）and action research group（received rehabilitation training based on action research method）,both groups were treated for 4 weeks.Pulmonary function indexes,exercise capacity,intensity of activity and quality of life（QOL）were compared between two groups after nursing.Results：Compared with routine rehabilitation group after nursing,there were significant rise in all pulmonary function indexes,treadmill exercise slope [（9.49±3.76）% vs.（12.91±3.49）%],6 min walking distance[（464.98±87.43）m vs.（498.16±93.56）m],walk speed[（4.95±1.30）km/h vs.（5.61±1.12）km/h],questionnaire scores of exercise capacity[（3.02±0.65）scores vs.（4.66±1.34）scores],questionnaire intensity of activity[（3.73±1.84）scores vs.（4.79±1.25）scores]and QOL[（7.75±1.78）scores vs.（10.35±0.61）scores]in action research group,P〈0.05 or0.01.Conclusion：Rehabilitation training based on action research method helps to improve exercise capacity,pulmonary function and quality of life in patients with coronary heart disease,which is worth extending.