家庭远程康复平台对冠心病PCI术后患者的康复效果及运动耐力、生活质量的影响

Influence of home tele-rehabilitation platform on rehabilitation efficacy,exercise endurance and quality of life in patients with coronary heart disease after PCI

目的探讨家庭远程康复(HTR)平台对冠状动脉粥样硬化性心脏病(冠心病)患者经皮冠状动脉介入治疗(PCI)术后的康复效果及对运动耐力、生活质量的影响。方法选择2019年1月至2022年1月于安徽亳州市中医院接受PCI的冠心病患者90例,采用随机数表法分为观察组和对照组,每组各45例。对照组给予常规治疗干预,观察组给予基于HTR平台的干预,均持续3个月。比较两组干预前后左室射血分数(LVEF)、左室舒张末内径(LVDD)、左室收缩末期内径(LVDS)、冠心病自我管理行为量表(GS-MS)、疾病家庭负担量表(FBS)评分、博格(Borg)评分、6min步行距离、中国心血管病人生活质量评定问卷(CQQC)评分的变化及不良心血管事件发生情况。结果干预后,观察组LVEF明显高于对照组,LVDD、LVDS明显低于对照组,差异有统计学意义(P<0.05);观察组GS-MS评分、CQQC评分均高于对照组,FBS评分、Borg评分均低于对照组,6min步行距离均较对照组增加,差异有统计学意义(P<0.05);干预期间,两组均无严重不良心血管事件发生。结论HTR平台有助于促进冠心病患者PCI术后康复,能积极提高患者自我管理能力,改善运动耐力、生活质量,建议推广。

Objective To discuss the influence of platform of home tele-rehabilitation(HTR)on rehabilitation efficacy,exercise endurance and quality of life(QOL)in patients with coronary heart disease(CHD)after percutaneous coronary intervention(PCI).Methods CHD patients undergone PCI(n=90)were chosen from Hospital of Traditional Chinese Medicine of Bozhou City from Jan.2019 to Jan.2022,and divided into observation group and control group(each n=45)by using random digital table.The control group was given routine therapeutic intervention and observation group was given the intervention based on HTR platform for 3 months.The indexes of left ventricular ejection fraction(LVEF),left ventricular diastolic diameter(LVDD)and left ventricular systolic diameter(LVDS),scores of Coronary Heart Disease Self-Management Scale(GS-MS),Family Burden Scale of Disease(FBS)score and Borg Score,6-minute walk distance(6MWD),scores of China Questionnaire of Quality of Life in Patients with Cardiovascular Diseases(CQQC),and incidence of major adverse cardiovascular events(MACE)were compared between 2 groups.Results After the intervention,LVEF was significantly higher,and LVDD and LVDS were significantly lower in observation group than those in control group(P<0.05).The scores of GS-MS and CQQC were higher,scores of FBS and Borg Score were lower,and 6MWD was longer in observation group than those in control group(P<0.05).There was no MACE occurrence in 2 groups during intervention period.Conclusion HTR platform is conducive for rehabilitation after PCI in CHD patients,which can actively improve patients’selfmanagement ability,exercise endurance and QOL,and it is worthy of application and promotion.