激励式护理干预联合早期有氧康复训练对冠心病患者PCI术后情绪运动水平及心功能的影响

Effects of motivational nursing intervention combined with early aerobic rehabilitation training on mood,exercise level and cardiac function of patients with coronary heart disease after PCI

目的探讨激励式护理干预联合早期有氧康复训练对冠心病患者经皮冠状动脉介入术后情绪、运动水平及心功能的影响。方法将90例行经皮冠状动脉介入术治疗的冠心病患者按照入院顺序分为观察组和对照组,各45例。对照组给予常规护理干预及康复训练,观察组在对照组基础上给予激励式护理干预联合早期有氧康复训练,观察2周。干预前后采用焦虑自评量表、抑郁自评量表评定焦虑、抑郁情绪,采用瑞士席勒心肺运动测试系统评定患者的运动水平(测试指标为峰值摄氧量、无氧阈、峰值功率),采用心脏彩色超声技术评定患者心功能状况(指标包括左室射血分数、左室收缩末期内径、左室舒张末期内径)。结果干预后两组焦虑自评量表、抑郁自评量表评分较干预前显著降低(P<0.01),观察组显著低于对照组(P<0.01)。干预后两组运动水平(峰值摄氧量、无氧阈、峰值功率)较干预前显著升高(P<0.05或0.01),观察组显著高于对照组(P<0.01)。干预后两组心功能(左室射血分数、左室收缩末期内径、左室舒张末期内径)显著优于干预前(P<0.05或0.01),观察组显著优于对照组(P<0.01)。结论激励式护理干预联合早期有氧康复训练能有效缓解冠心病患者经皮冠状动脉介入术后焦虑抑郁情绪,改善其心功能,提高其运动水平,促进患者早日康复。

Objective To explore the effects of motivational nursing intervention combined with early aerobic rehabilitation training on mood,exercise level and cardiac function of patients with coronary heart disease after percutaneous coronary intervention(PCI).Methods A total of 90 patients with coronary heart disease who underwent PCI were divided into observation group and control group according to the order of admission,with 45 cases in each group.The control group was given routine nursing intervention and rehabilitation training,and the observation group was given motivational nursing intervention combined with early aerobic rehabilitation training on the basis of the control group.Before and after the intervention,anxiety and depression were assessed by self-rating anxiety scale(SAS)and self-rating depression scale(SDS),the exercise level of patients(peak oxygen uptake,anaerobic threshold,peak power)was assessed by Schiller cardiopulmonary exercise test system,and cardiac function[left ventricular ejection fraction(LVEF),left ventricular end systolic diameter(LVESD),left ventricular end diastolic diameter(LVEDD)]was assessed by cardiac color ultrasound technology.Results After intervention,SAS and SDS scores of the two groups were significantly lower than those before intervention(P<0.01),and the observation group was significantly lower than the control group(P<0.01).After intervention,the exercise level(peak oxygen uptake,anaerobic threshold,peak power)of the two groups was significantly higher than that before intervention(P<0.05 or 0.01),and the observation group was significantly higher than the control group(P<0.01).After intervention,the cardiac function(LVEF,LVESD,LVEDD)of the two groups was significantly better than that before intervention(P<0.05 or 0.01),and the observation group was significantly better than the control group(P<0.01).Conclusions Motivational nursing intervention combined with early aerobic rehabilitation training can effectively relieve anxiety and depression in patients with coronary heart disease after PCI,improve their heart function,improve their exercise level,and promote the early recovery of patients.