摘要
目的比较不同随访方式对急性心肌梗死(AMI)二期康复患者运动依从性的影响。方法选取行冠脉内支架植入术后患者198例,根据患者意愿分为对照组(门诊随访) 64例、试验1组(门诊+电话随访) 66例和试验2组(门诊+微信随访) 68例。评价3组患者出院时及随访3、6、9、12个月的运动依从性。结果出院时,对照组体力活动状况明显优于试验1组和2组(P <0.05)。随访12个月,试验2组体力活动状况较出院时明显改善(P <0.05),试验1组略有改善,但差异无统计学意义(P> 0.05)。随访6、9、12个月,试验1组和2组在步行方面的体力活动状况明显优于对照组(P <0.05);试验2组在骑行方面的体力活动状况明显优于对照组和试验1组(P <0.05)。结论长期对AMI二期康复患者进行门诊联合微信随访,有助于提高其运动依从性,效果优于单纯门诊和门诊+电话随访。
Objective To compare the effect of different follow-up methods on the exercise compliance of patients with acute myocardial infarction (AMI) in the second stage of rehabilitation.Methods Totally 198 postoperative patients undergoing coronary artery stent implantation were selected,and were assigned into control group (outpatient follow-up visit,n=64),trial group one (outpatient+phone follow-up visit,n=66) and trial group two (outpatient + WeChat follow-up visit,n=68).The exercise compliance was evaluated among three groups on admission and after 3-,6-,9- and 12-month follow-up visit.Results On admission,the physical activity of control group was superior to those of trial group one and trial group two (P<0.05).After 12-month follow-up visit,the physical activity of trial group two was improved obviously (P<0.05),and that of trial group one was improved slightly (P>0.05).After 6-,9- and 12-month follow-up visit,the physical activities of trial group one and trial group two were superior to that of control group in terms of walking (P<0.05);the physical activity of trial group two was superior to those of control group and trial group one in terms of cycling (P<0.05).Conclusion Long-term outpatient + WeChat follow-up visit is conductive to improving the exercise compliance of patients with AMI in the second stage of rehabilitation,with its efficacy superior to the outpatient alone and outpatient + phone follow-up visit.
作者
王硕
张卨
于桂香
杨捷
王琳
张燕辉
童素梅
WANG Shuo;ZHANG Xie;YU Guixiang;YANG Jie;WANG Lin;ZHANG Yanhui;TONG Sumei(Cardiac Intensive Care Unit,Peking University Third Hospital,Beijing,100191)
出处
《中西医结合护理（中英文）》
2018年第12期34-37,共4页
Journal of Clinical Nursing in Practice
关键词
急性心肌梗死
运动康复
体力活动
电话随访
运动处方
acute myocardial infarction
exercise rehabilitation
physical activity
phone follow-up visit
exercise prescription
