IMB理论导向下渐进式心脏康复训练对PCI术后冠心病患者的影响

Influence of IMB theory-guided progressive cardiac rehabilitation training on patients with coronary heart disease after PCI

目的:研究信息-动机-行为技巧(IMB)理论导向下渐进式心脏康复训练对经皮冠状动脉介入治疗(PCI)术后冠心病(CHD)患者的影响。方法:于我院行PCI术的90例CHD患者被随机均分为常规护理组与IMB组(常规护理组基础上接受IMB理论导向下渐进式心脏康复训练),两组均干预3个月。比较两组遵医行为量表、焦虑自评量表(SAS)、抑郁自评量表(SDS)及世界卫生组织生活质量评估量表简表(WHOQOL-BREF)评分、左室舒张末期内径、LVEF、6min步行距离(6MWD)。结果:与常规护理组比较,干预3个月后,IMB组遵医行为量表[(53.53±5.25)分比(64.17±5.54)分]、WHOQOL-BREF评分[(46.06±6.73)分比(60.53±6.41)分]、LVEF[(53.53±3.14)%比(57.91±4.27)%]、6MWD[(476.11±51.57)m比(517.51±46.25)m]升高更显著,SAS[(42.17±3.12)分比(26.11±2.72)分]、SDS评分[(41.26±3.12)分比(26.17±2.83)分]降低更显著(P均=0.001)。结论:IMB理论导向下渐进式心脏康复训练可显著加强PCI术后冠心病患者遵医行为,提升运动耐量,促进心功能恢复,缓解负面情绪,改善术后生活质量。

Objective:To study influence of progressive cardiac rehabilitation training guided by information-motivation-behavioral skills(IMB)theory on patients with coronary heart disease(CHD)after percutaneous coronary intervention(PCI).Methods:A total of 90 CHD patients undergoing PCI in our hospital were randomly and equally divided into routine nursing group and IMB group(received IMB theory-guided progressive cardiac rehabilitation training based on routine nursing group).Both groups were intervened for three months.Scores of compliance behavior scale,self-rating anxiety scale(SAS),self-rating depression scale(SDS)and WHO quality of life brief scale(WHOQOL-BREF),left ventricular end-diastolic dimension,LVEF and 6min walking distance(6MWD)were compared between two groups.Results:Compared with routine nursing group,after three-month intervention,there were significant rise in scores of compliance behavior scale[(53.53±5.25)scores vs.(64.17±5.54)scores]and WHOQOL-BREF[(46.06±6.73)scores vs.(60.53±6.41)scores],LVEF[(53.53±3.14)%vs.(57.91±4.27)%]and 6MWD[(476.11±51.57)mvs.(517.51±46.25)m],and significant reductions in scores of SAS[(42.17±3.12)scores vs.(26.11±2.72)scores]and SDS[(41.26±3.12)scores vs.(26.17±2.83)scores]in IMB group(P=0.001 all).Conclusion:IMB theory-guided progressive cardiac rehabilitation training can significantly strengthen compliance behavior,increase exercise tolerance,promote cardiac function recovery,relieve negative emotions and improve postoperative quality of life in CHD patients after PCI.