基于5G物联网的认知行为疗法对老年冠心病经皮冠状动脉介入术后患者康复效果及运动恐惧的影响

Impacts of cognitive behavioral therapy based on 5G internet of things on rehabilitation and kinesiophobia in elderly patients with coronary artery diseasefollowing PCI

目的探讨基于5G物联网的认知行为疗法对老年冠心病经皮冠状动脉介入术(PCI)后患者康复效果及运动恐惧的影响。方法选取2023年6—12月收治的60例老年冠心病PCI术后患者作为研究对象,随机分为对照组和5G组,每组各30例。对照组实施常规护理,5G组在常规护理基础上实施基于5G物联网的认知行为疗法。比较两组患者左室射血分数(LVEF)、6分钟步行试验距离(6MWD)、心脏疾病患者恐动症量表评分[(TSK-SV Heart)评分]、西雅图心绞痛量表评分[(SAQ)评分]以及康复依从性。结果干预12周后,5G组LVEF、6MWD较对照组明显改善(P<0.05);5G组TSK-SV Heart评分低于对照组(P<0.05),SAQ评分高于对照组(P<0.05);5G组康复依从性优良率明显高于对照组(P<0.05)。结论基于5G物联网的认知行为疗法有助于提高老年冠心病PCI术后患者的康复效果,降低运动恐惧,改善生活质量,提升患者的康复依从性,从而促进患者的康复进程。

Objective To explore the effects of cognitive behavioral therapy based on 5G internet of things(IOT)on rehabilitation and kinesiophobia in elderly patients after percutaneous coronary intervention(PCI)for coronary artery disease.Methods Sixty elderly postoperative PCI patients with coronary artery disease admitted from June to December 2023 were selected as study subjects and randomly divided into the control group and the 5G group,with 30 cases in each group.The control groupreceived conventional nursing intervention,while the 5G group receivedcognitive behavioral therapy based on 5G IOT in addition to traditional nursing.Left ventricular ejection fraction(LVEF),6-minute walking distance(6MWD),the Tampa Scale for kinesiophobia Heart(TSKSV Heart)scores,the Seattle Angina Questionnaire(SAQ)scores,and rehabilitation compliance were compared between the two groups.Results 12 weeks afterintervention,LVEF and 6MWD in the 5G groupwere significantly improved as compared with those in the control group(P<0.05).The TSK-SV Heart scores in the 5G group werelower than those in the control group(P<0.05),but the SAQ scores were higher(P<0.05).And the rate of better rehabilitation compliance in the 5G group was significantly higher than thatin the control group(P<0.05).Conclusions Cognitive behavioral therapy based on 5G IOT helps to improve the rehabilitation effect in elderly patients with coronary artery disease after PCI,reduce kinesiophobia,improve quality of life,and enhance reha⁃bilitationcompliance,thus promoting the rehabilitation process of the patients.