系统化心脏康复式干预对介入治疗冠心病患者心功能及情绪状态的价值

Value of systematic cardiac rehabilitation intervention in the interventional treatment of cardiac function and emotional state in patients with coronary heart disease

目的探讨心脏康复式干预对介入治疗冠心病患者心功能及情绪状态的价值。方法选取本院2020年4月至2022年11月院内介入治疗冠心病患者,共计120例,随机数字法分组,接受常规干预患者为对照组共60例,接受心脏康复式干预患者为观察组共60例,对比分析2组干预结局。结果观察组患者干预后心功能指标优于对照组(P<0.05);干预后观察组治疗依从性各项分值包括运动锻炼(84±4)分、改变生活方式(86±4)分、饮食(87±4)分、服药(91±5)分均高于对照组(72±3)、(72±4)、(72±4)、(73±5)分,2组比较差异有统计学意义(P<0.05)。观察组患者干预后心理情绪评分优于对照组(P<0.05)。观察组干预后的SF-36评分包括生理功能、情感职能、精神健康、社会功能高于对照组(P<0.05)。结论介入治疗冠心病患者过程中,实施心脏康复式干预,可改善患者心理情绪状态,调整患者心功能指标,提升患者治疗依从性,改善患者生活质量,临床价值明显。

Objective To investigate the value of cardiac rehabilitation intervention in the interventional treatment of cardiac function and emotional state in patients with coronary heart disease.Methods A total of 120 patients with coronary heart disease were selected from our hospital from April 2020 to November 2022.They were divided by random number method.Patients receiving routine intervention were included in the control group(n=60),and patients receiving cardiac rehabilitation intervention were included in the observation group(n=60),and the intervention outcomes of the two groups were compared and analyzed.Results The cardiac function index of the observation group was better than the control group after intervention(P<0.05).After the intervention,the scores of treatment compliance in the observation group,including exercise(84±4)points,lifestyle change(86±4)points,diet(87±4)points,and medication(91±5)points,were higher than those in the control group,the difference between the two groups was statistically significant(P<0.05).The psychological and emotional score of the observation group was better than that of the control group(P<0.05).After the intervention,the SF-36 scores including physiological function,emotional function,mental health,and social function of the observation group were higher than those of the control group(P<0.05).Conclusion In the process of interventional treatment of patients with coronary heart disease,the implementation of cardiac rehabilitation intervention can improve the psychological and emotional state of patients,adjust the cardiac function index of patients,improve the treatment compliance of patients,improve the quality of life of patients,and the clinical value is obvious.