经皮冠状动脉介入治疗术后患者实施多学科合作运动管理的效果研究

Effects of multidisciplinary exercise management on patients after percutaneous coronary intervention:A randomized controlled study

目的探讨由多学科合作运动管理在经皮冠状动脉介入治疗(Percutaneous Coronary Intervention,PCI)术后患者中应用的效果。方法2020年1—10月,54例PCI术后患者被随机分配到试验组(n=27)和对照组(n=27)。试验组接受多学科合作运动管理,对照组接受常规护理。PCI术后患者在其术后1个月时开始进行干预,干预时间2个月。干预前后分别采用6 min步行距离评估患者运动耐量,根据移动应用程序记录的患者运动情况评估患者运动依从性,采用冠心病介入治疗相关知识认知调查问卷、慢性病自我效能量表及领悟社会支持量表分别评估患者疾病相关认知、自我效能感及领悟社会支持情况。结果51例PCI术后患者完成此项研究(试验组25例,对照组26例)。干预2个月后,试验组患者运动依从性优于对照组,6 min步行距离(469.36±57.48比432.81±67.09)、冠心病PCI治疗相关知识(52.64±9.82比42.42±8.54)、慢性病自我效能感(42.40±8.04比36.88±7.73)、领悟社会支持(74.04±5.73比66.69±6.86)得分均高于对照组,差异均有统计学意义(P<0.05)。结论基于移动应用程序的多学科运动管理可有效提高PCI术后患者运动耐量、运动依从性、疾病相关认知、自我效能感及领悟社会支持。

Objectives To explore the effectiveness of the mobile app-based multidisciplinary exercise management on patients who receive percutaneous coronary intervention(PCI).Methods From January to October 2020,54 patients after PCI were randomly assigned to the intervention group(n=27)and the control group(n=27).The intervention group received the mobile app-based multidisciplinary exercise management,whereas the control group received routine care.The patients after PCI began to take intervention one month after the operation,and the intervention lasted for two months.Before and after the intervention,6-Minute Walking Distance was used to evaluate the patient’s exercise tolerance,and the patient’s exercise compliance was evaluated according to the patient’s exercise status recorded by the mobile app.The cognitive questionnaire on knowledge about PCI treatment for Coronary Heart Disease,the Self-efficacy for Chronic Disease Scale and the Perceived Social Support Scale were used to evaluate patients’disease-related cognition,self-efficacy and perception of social support.This study was registered on Clinical Trials.gov with registration number ChiCTR2000028930.Results Totally 51 patients after PCI who completed this study(25 patients in the intervention group and 26 patients in the control group)were included in the analysis.After 2 months of intervention,the exercise compliance of patients in the intervention group was better than that in the control group.And 6-Minute Walking Distance(469.36±57.48 vs.432.81±67.09),and the scores of knowledge of PCI treatment for coronary heart disease(52.64±9.82 vs.42.42±8.54),Self-efficacy for Chronic Disease Scale(42.40±8.04 vs.36.88±7.73)and Perceived Social Support Scale(74.04±5.73 vs.66.69±6.86)in the intervention group were higher than those in the control group with statistical significance(P<0.05).Conclusions The multidisciplinary exercise management based on the mobile app can effectively improve exercise tolerance,exercise compliance,disease-related cognition,self-efficacy,and perception of social support during exercise training for patients after PCI.