摘要
目的:研究信息-动机-行为技巧(IMB)理论导向下渐进式心脏康复训练对经皮冠状动脉介入治疗(PCI)术后冠心病(CHD)患者的影响。方法:于我院行PCI术的90例CHD患者被随机均分为常规护理组与IMB组(常规护理组基础上接受IMB理论导向下渐进式心脏康复训练),两组均干预3个月。比较两组遵医行为量表、焦虑自评量表(SAS)、抑郁自评量表(SDS)及世界卫生组织生活质量评估量表简表(WHOQOL-BREF)评分、左室舒张末期内径、LVEF、6min步行距离(6MWD)。结果:与常规护理组比较,干预3个月后,IMB组遵医行为量表[(53.53±5.25)分比(64.17±5.54)分]、WHOQOL-BREF评分[(46.06±6.73)分比(60.53±6.41)分]、LVEF[(53.53±3.14)%比(57.91±4.27)%]、6MWD[(476.11±51.57)m比(517.51±46.25)m]升高更显著,SAS[(42.17±3.12)分比(26.11±2.72)分]、SDS评分[(41.26±3.12)分比(26.17±2.83)分]降低更显著(P均=0.001)。结论:IMB理论导向下渐进式心脏康复训练可显著加强PCI术后冠心病患者遵医行为,提升运动耐量,促进心功能恢复,缓解负面情绪,改善术后生活质量。
Objective:To study influence of progressive cardiac rehabilitation training guided by information-motivation-behavioral skills(IMB)theory on patients with coronary heart disease(CHD)after percutaneous coronary intervention(PCI).Methods:A total of 90 CHD patients undergoing PCI in our hospital were randomly and equally divided into routine nursing group and IMB group(received IMB theory-guided progressive cardiac rehabilitation training based on routine nursing group).Both groups were intervened for three months.Scores of compliance behavior scale,self-rating anxiety scale(SAS),self-rating depression scale(SDS)and WHO quality of life brief scale(WHOQOL-BREF),left ventricular end-diastolic dimension,LVEF and 6min walking distance(6MWD)were compared between two groups.Results:Compared with routine nursing group,after three-month intervention,there were significant rise in scores of compliance behavior scale[(53.53±5.25)scores vs.(64.17±5.54)scores]and WHOQOL-BREF[(46.06±6.73)scores vs.(60.53±6.41)scores],LVEF[(53.53±3.14)%vs.(57.91±4.27)%]and 6MWD[(476.11±51.57)mvs.(517.51±46.25)m],and significant reductions in scores of SAS[(42.17±3.12)scores vs.(26.11±2.72)scores]and SDS[(41.26±3.12)scores vs.(26.17±2.83)scores]in IMB group(P=0.001 all).Conclusion:IMB theory-guided progressive cardiac rehabilitation training can significantly strengthen compliance behavior,increase exercise tolerance,promote cardiac function recovery,relieve negative emotions and improve postoperative quality of life in CHD patients after PCI.
作者
陈颖
王琎
张萌
刘蕾蕾
齐东红
任飞飞
杨莉
CHEN Ying;WANG Jin;ZHANG Meng;LIU Lei-lei;QI Dong-hong;REN Fei-fei;YANG Li(Department of Cardiology,First People's Hospital of Hefei City,Hefei,Anhui,230001,China)
出处
《心血管康复医学杂志》
CAS
2023年第5期464-468,共5页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
冠心病
血管成形术
气囊
冠状动脉
康复
Coronary disease
Angioplasty,balloon,coronary
Rehabilitation
