系统心脏康复对心房颤动射频消融术后患者的影响

Effect of systemic cardiac rehabilitation on patients with atrial fibrillation after radiofrequency ablation

目的探讨系统心脏康复对心房颤动射频消融术后患者的影响。方法将2020年2月—2022年1月医院收治的130例房颤患者作为研究对象,按照组间基本特征具有可比性的原则分成对照组和观察组,各65例。对照组采用常规护理,观察组在对照组的基础上采用系统心脏康复护理,包括成立心脏康复专业管理团队,心脏康复评估分期,心脏康复的运动、饮食、心理与睡眠、服药与生活方式等五大处方干预,建立社区联动康复。两组患者出院时及出院后6个月,比较两组房颤患者生活质量量表(AFEQT)评分、抑郁自评量表(SDS)和焦虑自评量表(SAS)评分、自我护理能力量表(ESCA)得分及心脏康复依从性。结果出院时两组房颤患者AFEQT评分比较,差异无统计学意义(P>0.05);出院后6个月观察组AFEQT评分高于对照组,差异有统计学意义(P<0.05)。出院时两组患者6 min步行试验(6MWT)距离比较差异无统计学意义(P>0.05);出院后6个月,观察组6MWT距离长于对照组,差异有统计学意义(P<0.05)。观察组心血管不良事件发生率低于对照组,差异有统计学意义(P<0.05)。出院时两组SDS、SAS评分比较差异无统计学意义(P>0.05);出院后6个月,观察组SDS、SAS评分低于对照组,差异有统计学意义(P<0.05)。观察组心脏康复依从性优于对照组,差异有统计学意义(P<0.05)。结论通过对心房颤动行射频消融术患者实施系统心脏康复,有利于提高患者运动耐力和依从性,降低心血管风险事件的发生,改善患者身心状态,提高其自我护理能力和生活质量。

Objective To explore the effect of systemic cardiac rehabilitation on patients with atrial fibrillation after radiofrequency ablation.Methods To select 130 patients with atrial fibrillation admitted from February 2020 to January 2022 as the study subjects.They were divided into a control group and an observation group according to the principle of comparability of basic characteristics between groups,with 65 patients in each group.The control group adopted routine nursing,while the observation group adopted systematic cardiac rehabilitation nursing on the basis of the control group,including the establishment of a professional management team for cardiac rehabilitation,the evaluation of cardiac rehabilitation by stages,the exercise,diet,psychology and sleep,medication and lifestyle of cardiac rehabilitation,and the establishment of community linkage rehabilitation.The atrial fibrillation effect on quality of life(AFEQT)scores,self-rating depression scale(SDS)and self-rating anxiety scale(SAS)scores,exercise of self-care agency scale(ESCA)scores and cardiac rehabilitation compliance were compared between the two groups at discharge and 6 months after discharge.Results There was no significant difference in AFEQT scores between the two groups at discharge(P>0.05).The AFEQT score 6 months after discharge in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).There was no significant difference in 6-minute walking test(6MWT)distance between the two groups at discharge(P>0.05).The 6MWT distance 6 months after discharge distance in the observation group was longer than that in the control group,the difference was statistically significant(P<0.05).The incidence of cardiovascular adverse events in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).There was no significant difference in scores of SDS and SAS between the two groups at discharge(P>0.05).The scores of SDS and SAS 6 months after discharge in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The cardiac rehabilitation compliance in the observation group was better than that in the control group,the difference was statistically significant(P<0.05).Conclusion Systematic cardiac rehabilitation for patients with atrial fibrillation undergoing radiofrequency ablation was benefi cial to improve their exercise tolerance and compliance,reduce the occurrence of cardiovascular risk events,improve their physical and mental status,and improve their self-care ability and quality of life.