Ⅰ期运动康复对冠状动脉旁路移植术后病人生活质量的影响

Influences of Phase Ⅰ Exercise Rehabilitation on the Life Quality of Patients after Coronary Bypass Grafting

目的探讨Ⅰ期运动康复干预对冠状动脉旁路移植术后病人生活质量的影响。方法采用方便抽样方法,将2016年11月—2017年6月在我院行冠状动脉旁路移植术的44例病人作为研究对象,分为试验组(23例)与对照组(21例)。对照组病人按照心脏外科围术期常规进行活动宣教,试验组实施Ⅰ期运动康复干预。比较两组术后7 d、1个月6 min步行试验距离(6MWD)和病人出院后1个月、3个月的生活质量。结果试验组术后7 d、3个月6MWD明显长于对照组,差异有统计学意义(P<0.05)。试验组住院天数、住院费用均低于对照组(P<0.05)。术后1个月试验组健康调查简表(SF-36)中生理功能(PF)、情感职能(RE)、一般健康状况(GH)、精力(VT)评分均高于对照组,差异均有统计学意义(P<0.05);术后3个月试验组SF-36中PF、生理职能(RP)、VT、社会功能(SF)、RE评分均高于对照组,差异均有统计学意义(P<0.05)。结论Ⅰ期运动康复干预能提高冠状动脉旁路移植术后病人6MWD,提高病人生活质量。

Objective To investigate the effect of phaseⅠexercise rehabilitation on the quality of life of patients after coronary artery bypass grafting.Methods Forty-four patients who received coronary artery bypass grafting were enrolled from November 2016 to June 2017.The patients were divided into two groups,23 cases in experimental group and 21 cases in control group.The patients in control group were routinely taught in accordance with the perioperative period of cardiac surgery,while the patients in experimental group implemented phaseⅠexercise rehabilitation intervention.The distance of 6-minutes walking test(6MWD)of the two groups were compared at 7 days and 1 month after surgery.The quality of life(SF-36)were compared at 1 month and 3 month after discharge.Results 6MWD in experimental group was significantly longer than that in control group(P<0.05)at 7 days and 1 months after operation.One months after operation,the scores of PF,RE,GH,and VT in experimental group was higher than those in control group(P<0.05).Three months after operation,SF-36 score showed that the PF,RP,VT,SF,RE scores in experimental group were higher than those in control group(P<0.05).Conclusion PhaseⅠexercise rehabilitation can improve 6MWD and the quality of life of patients after coronary bypass grafting.