家庭远程心脏康复对经皮冠状动脉介入术后患者生命质量、疾病负担状况、心功能及运动耐力的影响研究

Effect of home-based cardiac tele-rehabilitation on quality of life,disease burden status,cardiac function and exercise endurance of patients after percutaneous coronary intervention

目的探讨家庭远程心脏康复对经皮冠状动脉介入(PCI)术后患者生命质量、疾病负担状况、心功能及运动耐力的影响。方法选取2018年1—12月在湖北省十堰市人民医院心脏病中心治疗的106例PCI术后患者,按照出院顺序随机分为观察组和对照组各53例。对照组给予常规康复护理,观察组在常规护理基础上采用家庭远程心脏康复治疗。测定干预后3个月2组患者6分钟步行距离(6MWT)、无氧域值、氧峰值、左心室射血分数(LVEF);同时给予SF-12生命质量测定量表、疾病家庭负担量表(FBS)进行评分。结果干预3个月后,观察组患者6MWT、无氧域值、氧峰值、SF-12量表的生理总评分和心理总评分,以及FBS评分分别为(596.26±79.35)m、(14.65±1.82)ml·kg^-1·min^-1、(25.86±3.46)ml·kg^-1·min^-1、(47.46±9.86)分、(50.68±9.82)分、(18.94±6.61)分,对照组分别为(532.65±76.57)m、(12.95±1.87)ml·kg^-1·min^-1、(21.95±3.28)ml·kg^-1·min^-1、(43.28±8.21)分、(48.26±9.69)分、(21.75±7.18)分,2组比较差异有统计学意义(t值为-0.317~6.034,均P<0.05)。结论家庭远程心脏康复可提高PCI术后患者生命质量,改善患者疾病负担状况及运动耐力.

Objective To explore the effect of home-based cardiac tele-rehabilitation on quality of life,disease burden status,cardiac function and exercise endurance of patients after percutaneous coronary intervention(PCI).Methods A total of 106 patients after PCI from January to December in 2018 in Heart Disease Center of Shiyan People′s Hospital,Hubei Province were randomly divided into observation group and control group according to the order of discharge,there were 53 cases in each group.The control group received routine rehabilitation care,and the observation group received home-based cardiac tele-rehabilitation on the basis of routine nursing.6 minutes walking test(6MWT),anerobic threshold,oxygen peak and left ventricular ejection fraction(LVEF)in two groups were measured at 3 months after the intervention,the SF-12 scale and Family Burden Scale of Disease(FBS)scale were also scored.Results After 3 months of intervention,the 6MWT,anerobic threshold,oxygen peak,physiological total score and psychological total score of SF-12 scale,and FBS score was(596.26±79.35)m,(14.65±1.82)ml·kg^-1·min^-1,(25.86±3.46)ml·kg^-1·min^-1,(47.46±9.86)points,(50.68±9.82)points,(18.94±6.61)points in the observation group,and(532.65±76.57)m,(12.95±1.87)ml·kg^-1·min^-1,(21.95±3.28)ml·kg^-1·min^-1,(43.28±8.21)points,(48.26±9.69)points,(21.75±7.18)points in the control group.The difference between the two groups was statistically significant(t value was-0.317-6.034,all P<0.05).Conclusions Home-based cardiac tele-rehabilitation can improve the quality of life,exercise endurance and can help to reduce the disease burden status on patients after PCI.