摘要
目的探讨综合心脏康复对冠心病PCI术后患者生活质量及运动耐力的影响.方法对患者实施包括运动、心理、戒烟、营养、药物五个方面的综合心脏康复,分别于康复前后用健康状况调查问卷(SF-36)及运动耐力评估表测量患者生活质量及运动耐力的变化.结果经过36个疗程的综合心脏康复干预,患者的生理机能、生理职能、躯体疼痛、一般健康状况、精力、情感职能评分均得到提升(P<0.05);患者的运动代谢当量(METS)由(5.55±1.43)提高至(10.76±2.53),运动耐力有了明显的改善(t=-2.238,P<0.05).结论医护人员应重视冠心病PCI术后患者的综合心脏康复,鼓励患者主动参与到心脏康复中,以提高患者的运动耐力及带病生存质量.
Objective To explore the influence of cardiac rehabilitation for PCI postoperative patients’ exercise endurance and quality of life. Methods Using comprehensive cardiac rehabilitation methods(including sports, psychology, quit smoking, nutrition, medicine five aspects) to intervention patients, Health questionnaire (SF-36) and Exercise Endurance Assessment Form were used to investigate patient's change in quality of life and exercise endurance before and after intervention respectively. Results After 36 course of comprehensive cardiac rehabilitation intervention, patient's Physiological Function(PF), Role-Physical(RP), Bodily Pain(BP), General Health(GH), Vitality(VT), Role-Emotional(RE) were improved ( P <0.05);Patients’ metabolic equivalents (METS) was improved from(5.55±1.43) to (10.76±2.53), exercise endurance have improved ( t =-2.238, P <0.05) Conclusion Medical staff should pay attention to PCI postoperative patients’ comprehensive cardiac rehabilitation, to encourage patients participate in cardiac rehabilitation actively, in order to improve patients’ exercise endurance and quality of disease survival.
基金
云南省教育厅指导性项目(编号:2016ZDX018)
关键词
冠心病
心脏康复
运动耐力
生活质量
Coronary heart disease
Cardiac rehabilitation
Exercise endurance
Quality of life
