“网络媒介+运动”干预对经皮冠状动脉介入患者术后康复的影响

Effect of“network medium plus exercise”intervention on postoperative rehabilitation of patients with percutaneous coronary intervention

目的探究“网络媒介+运动”干预对经皮冠状动脉介入术(percutaneous coronary intervention,PCI)患者术后康复的影响。方法选取2021年8月至2022年8月接受PCI治疗的患者,按照1∶1的比例随机分为观察组和对照组,每组45例。对照组行术后常规护理,观察组于常规护理基础上应用“网络媒介+运动”干预,比较2组患者术后康复依从性、心功能、运动耐量及生活质量。结果观察组患者术后康复依从率高于对照组(P<0.05);观察组患者干预后左心射血分数(LVEF)、峰值摄氧量(Peak VO_(2))、峰值氧脉搏(peak O_(2) pulse)、无氧阈(AT)、峰值代谢当量(peak MET)和中国心血管患者生活质量评定问卷(CQQC)评分均高于对照组,而左心室舒张末内径(LVEDd)低于对照组(P<0.05)。结论在PCI术后患者中应用“网络媒介+运动”干预方案可有效提高康复依从性、改善心功能与运动耐量、提升生活质量,建议临床推广应用。

Objective This study sought to explore the effect of“network medium plus exercise”intervention on the postoperative rehabilitation of patients with percutaneous coronary intervention(PCI).Methods Eligible patients with PCI in our hospital from August 2021 to August 2022 were selected.They were randomly divided into the observation group and control group by a ratio of 1∶1,with 45 cases per group.Routine postoperative care was performed in both groups,and the“network medium plus exercise”intervention was additionally given to the observation group.Postoperative rehabilitation compliance,cardiac function,exercise tolerance and quality of life between two groups were compared.Results The rate of postoperative rehabilitation compliance in the observation group was significantly higher than that of the control group(P<0.05).The left ventricular ejection fraction(LVEF),peak oxygen uptake(Peak VO_(2)),peak oxygen pulse(peak O_(2) pulse),anaerobic threshold(AT),peak metabolic equivalent(peak MET)and the scores of the Chinese Questionnaire of Quality of Life in Patients with Cardiovascular Disease(CQQC)in patients in the observation group after the intervention were significantly higher than those of the control group,while the left ventricular end-diastolic internal diameter(LVEDd)was significantly lower(P<0.05).Conclusion The application of“network medium plus exercise”intervention among patients with PCI can effectively improve rehabilitation compliance,cardiac function,exercise tolerance,and the quality of life,which is recommended for clinical application.