摘要
目的:在冠心病患者中开展基于社区的运动康复训练项目,考察其可行性并评估其在改善患者运动能力和生活质量等方面的效果。方法:将研究对象随机分为心脏康复组和常规管理组。在心脏康复组开展运动训练,并用6min步行实验和简明生活质量评估量表测评两组患者基线、6个月时的运动能力和生活质量。结果:心脏康复组患者参与率为66.3%,退出率为6.2%。相比较于基线水平,心脏康复组患者运动能力明显提升(t=5.64,P=0.001),身体状况(t=6.43,P=0.001)和心理状况(t=4.61,P=0.001)明显改善。同期常规管理组则未发现明显变化。两组患者服药依从性明显提高,每日吸烟量均明显减少。结论:基于社区的运动康复训练能有效提升CHD患者运动能力和生活质量,是适应我国当前卫生服务体系和适合我国人群特点的康复管理模式。
Objective:To implement a community-based cardiac rehabilitation (CR) program in patients with coronary heart disease,and assess its effects in improving patients' exercise capacity and quality of life.Methods:Patients were randomly allocated into cardiac rehabilitation (CR) group and usual group.Variables like exercise capacity and quality of life were assessed through 6 minutes walk test (6MWT) and quality of life (QOL) at baseline as well as 6 months.Results:The participation rate in CR group was 66.3% and the withdraw rate was 6.2%.Compared to that at baseline,patients in CR group achieved a significant improvement in exercise capacity ( t=5.64,P <0.01),mental component score ( t=6.43,P <0.01) and physical component score ( t=4.61,P <0.01).However,no obvious change was observed in usual group.The compliance of the two groups was significantly improved,and the daily smoking volume was significantly reduced.Conclusion:Community based sports rehabilitation training can effectively improve the exercise ability and quality of life of CHD patients,and it is a rehabilitation management mode that adapts to the current health service system and the characteristics of Chinese population.
作者
兰永青
陈丹
蒋萍
LAN Yong-qing;CHEN Dan;JIANG Ping(Department of Geriatric Diseases,Nanchong Mental Health Center of Sichuan Province,Nanchong 637000,Sichuan,China)
出处
《川北医学院学报》
CAS
2019年第3期452-455,共4页
Journal of North Sichuan Medical College
基金
四川省教育厅重点项目(17ZA0172)
关键词
冠心病
心脏康复
社区
生活质量
6min步行实验
Coronary heart disease
Cardiac rehabilitation
Community
Quality of life
6MWT
