摘要
目的探讨基于赋权理论的心脏康复方案对急性冠脉综合征(ACS)患者经皮冠脉介入术(PCI)后预后的影响。方法选取2019年8月至2020年7月河北省定州市人民医院收治的ACS患者110例,根据随机数字表法将其分为对照组和观察组,各55例。对照组给予常规护理,观察组采用基于赋权理论的心脏康复方案护理。观察干预前后两组心脏功能、运动功能情况。比较两组血清N-末端脑利钠肽前体(NT-pro BNP)、可溶性CD40配体(s CD40L)及炎症因子水平;比较干预前后自我护理能力、生活质量。结果干预3个月后,两组左心室舒张末期内径(LVEDD)、左心室收缩末期内径(LVESD)低于干预前,E/A值高于干预前,且观察组LVEDD、LVESD低于对照组,观察组E/A值高于对照组,差异有统计学意义(P<0.05)。两组6 min步行距离(6-MWD)长于干预前,10次坐-立体位试验(STS-10)短于干预前,30 s手臂屈曲试验(30-ACT)多于干预前,且观察组6-MWD长于对照组,观察组STS-10短于对照组,观察组30-ACT多于对照组,差异有统计学意义(P<0.05)。两组血清NT-pro BNP、s CD40L、C反应蛋白水平低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。两组中国心血管病人生活质量评定问卷及积极度量表评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论基于赋权理论的心脏康复方案可改善ACS患者PCI后心脏运动功能,改善预后。
Objective To explore the influence of cardiac rehabilitation program based on weight theory on prognosis of patients with acute coronary syndrome(ACS)after percutaneous coronary intervention(PCI).Methods A total of 110 patients with ACS admitted to the Dingzhou People’s Hospital,Hebei Province from August 2019 to July 2020,according to random number table method,they were divided into control group and observation group,with 55 cases in each group.The control group received routine care,while the observation group received cardiac rehabilitation based on weight theory.The cardiac function and motor function of the two groups were observed before and after intervention,and the levels of serum N-terminal brain natriuretic peptide precursor(NT-proBNP),soluble CD40 ligand(sCD40L);and inflammatory factors were compared between the two groups;self-care ability and quality of life before and after intervention were compared.Results After three months of intervention,left ventricular end diastolic dimension(LVEDD)and left ventricular end systolic diameter(LVESD)in both groups were lower than before intervention,and E/A value was higher than those before intervention;LVEDD and LVESD in observation group were lower than the control group,and E/A value in observation group was higher than that control group,and the differences were statistically significant(P<0.05).The 6 min walking distance(6-MWD)of the two groups was longer than that before intervention,and the ten-sitting-stereo-position tests(STS-10)was shorter than before intervention,the 30 s arm curt test(30-ACT)was longer than before intervention,and the 6-MWD of the observation group was longer than that of the control group,the STS-10 of the observation group was shorter than that of the control group,and the 30-ACT of the observation group was longer than that of the control group,and the differences were statistically significant(P<0.05).The levels of serum NT-proBNP,sCD40L,and C-reactive protein in two groups were lower than those before intervention,and the
作者
龙会平
李刚
高松涛
LONG Huiping;LI Gang;GAO Songtao(Department of Nursing,Dingzhou People’s Hospital,Hebei Province,Dingzhou 073000,China;Ward Two,Department of Cardiology,Dingzhou People’s Hospital,Hebei Province,Dingzhou 073000,China)
出处
《中国医药导报》
CAS
2023年第32期172-175,共4页
China Medical Herald
基金
河北省重点研发计划自筹项目(172777139)。
关键词
赋权理论
心脏康复
经皮冠脉介入术
急性冠脉综合征
自护能力
生活质量
Weight theory
Cardiac rehabilitation
Percutaneous coronary intervention
Acute coronary syndrome
Self care ability
Quality of life
