摘要
目的探讨基于互联网管理的家庭心脏康复模式对急性心肌梗死行经皮冠状动脉介入(percutaneous coronary intervention,PCI)治疗后患者心理健康、生活质量和心肺功能的影响。方法选取2022年2月至2022年9月在首都医科大学大兴教学医院心内科住院且行急诊PCI的急性心肌梗死患者80例,采用随机数列法分为观察组和对照组,每组40例。术后住院期间两组均进行相同的院内康复。出院后对照组给予常规冠心病二级预防指导,观察组在对照组的基础上采用基于互联网管理的家庭心脏康复模式干预,康复模式中的运动处方主要依据心肺运动试验结果制定。比较两组患者出院时及出院3个月的心理健康、生活质量及心肺功能。结果两组共73例患者完成随访,观察组36例,对照组37例。出院时两组患者一般临床资料比较差异无显著性(P>0.05)。出院时两组反映心理健康水平的一般自我效能感量表(general self-efficacy scale,GSES)、抑郁症状群量表(perceived health questionnaire-9,PHQ-9)及广泛性焦虑量表(generalized anxiexy disorde-7,GAD-7)评分比较差异无显著性(P>0.05);出院3个月,对照组患者的PHQ-9评分、GAD-7评分和GSES评分与出院时比较差异无显著性(P>0.05),而观察组患者各评分均优于出院时,且优于对照组,差异有显著性(P<0.05)。出院时两组健康调查量表36(medical outcomes study 36-item short form health survey,SF-36)各维度得分比较差异无显著性(P>0.05);出院3个月对照组患者一般健康状况维度得分明显高于出院时,观察组患者生理功能和精力维度得分明显高于出院时,且高于对照组,差异均有显著性(P<0.05),而两组SF-36量表其他各维度得分与出院时比较差异无显著性(P>0.05)。出院3个月,观察组心肺运动试验的峰值摄氧量高于对照组,差异有显著性(P<0.05)。结论基于互联网管理的家庭心脏康复模式可显著改善急性心肌梗死行PCI患
Objective To analyze the effect of home-based cardiac rehabilitation mode on the cardiopulmonary function,mental-health level and quality of life(QOL)indexes of patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI).Method A total of 80 AMI patients who were hospitalized and underwent emergency PCI in the Department of Cardiology,Daxing Teaching Hospital,Capital Medical University from February 2022 to September 2022 were selected and randomly divided into observation group(n=40)and control group(n=40).Both groups were given the same cardiac intro-hospital rehabilitation.The control group was given routine secondary prevention guidance for coronary heart disease after discharge.On the basis of control group,the observation group was treated with home-based cardiac rehabilitation mode based on internet management.The mode’s exercise prescription was mainly formulated by the results of cardiopulmonary exercise test.Cardiopulmonary function,mental health level and QOL indexes were compared between the two groups at discharge and 3 months after discharge.Result A total of 73 patients completed follow-up,including 36 patients in the observation group and 37 patients in the control group.There was no significant difference in general clinical data between the two groups at discharge(P>0.05).There was no significant difference in score of mental health scale between the two groups at discharge(P>0.05),which includes perceived health questionnaire-9(PHQ-9),generalized anxiety disorder-7(GAD-7)and general self-efficacy scale(GSES).There was no significant difference in score of PHQ-9,GAD-7 and GSES in the control group at discharge and 3 months after discharge(P>0.05).The score of PHQ-9,GAD-7 and GSES in the observation group 3 months after discharge were significantly higher than that at discharge(P<0.05).The score of PHQ-9,GAD-7 and GSES in the observation group 3 months after discharge were significantly higher than that in the control group(P<0.05).There was no significant differ
作者
刘耀
马秀华
佟子川
程国杰
赵冬婧
李素菊
杨娜
冯威威
Liu Yao;Ma Xiuhua;Tong Zichuan;Cheng Guojie;Zhao Dongjing;Li Suju;Yang Na;Feng Weiwei(Daxing Teaching Hospital of Capital Medical University,Beijing 102600,China;Fuxing Hospital,Capital Medical University,Beijing 100045,China)
出处
《中国医刊》
CAS
2023年第5期499-503,共5页
Chinese Journal of Medicine
关键词
家庭心脏康复
急性心肌梗死
经皮冠状动脉介入
心肺功能
心理健康
生活质量
Home-based cardiac rehabilitation
Acute myocardial infarction
Percutaneous coronary intervention
Cardiopulmonary function
Mental health
Quality of life
