基于奥马哈系统的心脏康复方案在PCI术后患者中的应用

Application of cardiac rehabilitation program based Omaha system in post percutaneous coronary intervention patients

目的探讨基于奥马哈系统的心脏康复方案在PCI术后患者中的应用效果。方法采用便利抽样法,选取2017年10月—2018年4月无锡市第二人民医院心内科住院患者127例为研究对象。根据患者住院号随机分为两组,其中试验组64例、对照组63例,干预过程中,试验组失访2例、对照组失访1例,最终试验组、对照组各有62例患者完成研究。对照组患者接受常规护理,试验组患者接受基于奥马哈系统的心脏康复,采用6 min步行试验、PCI术后患者二级预防知识和行为调查问卷测量干预的效果。结果干预后,试验组患者6 min运动距离(439.28±67.94)m、对照组(315.62±45.18)m,差异有统计学意义(t=11.934,P<0.01);试验组患者二级预防知识、行为得分(87.21±12.46)、(84.27±14.58)分,高于对照组的(71.30±8.12)、(65.94±8.97)分,差异有统计学意义(t值分别为8.423、8.431;P<0.01)。结论基于奥马哈系统的心脏康复方案可以提高PCI术后患者的运动耐力和二级预防行为,值得推广应用。

ObjectiveTo investigate the effect of the cardiac rehabilitation program based Omaha system on patients after percutaneous coronary intervention(PCI).MethodsA convenient sampling method was used to select 127 patients from the Department of Cardiology of Wuxi Second People's Hospital from October 2017 to April 2018.According to the patient's hospitalization number,they were randomly divided into two groups,including 64 in the experimental group and 63 in the control group.During the intervention,2 patients were lost in the experimental group and 1 patient was lost in the control group.There were 62 patients in each group to complete the study.Patients in the control group received routine care,while patients in the experimental group received cardiac rehabilitation based on the Omaha system.The effect of the intervention was measured by 6 min exercise test,secondary prevention knowledge and behavior questionnaire for post-PCI patients.ResultsAfter the intervention,The 6-minute exercise distance was(439.28±67.94)m in the experimental group,and it was(315.62±45.18)m in the control group.The exercise endurance of the experimental group was higher than that of the control group,and the difference was statistically significant(t=11.934,P<0.01).The secondary prevention knowledge and behavior scores of the experimental group were(87.21±12.46)and(84.27±14.58),which were higher than those of the control group(71.30±8.12)and(65.94±8.97).The differences were statistically significant(t=8.423,8.431;P<0.01).ConclusionsCardiac rehabilitation programs based Omaha system can improve exercise endurance and secondary prevention behaviors of patients after PCI and its application should be promoted.